FORM 1023-EZ for LIFE LINE FOR EXCELLENCE

Field Data
EIN 83-1112388
Case Number EO-2018282-000134
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LIFE LINE FOR EXCELLENCE
Organization’s Mailing Address 5848 SEGENETTE DR
City MARRERO
State LA
ZIP 70072
Accounting period End 12
Primary contact name TIFFANY JAMES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TIFFANY JAMES
PRESIDENT
5848 SEGNETTE DR
MARRERO LA 70072

Officer/Director/Trustee Two

TIFFANY JAMES
SECRETARY
5848 SEGENETTE DR
MARRERO LA 70072

Officer/Director/Trustee Three

MARILYN JAMES
TREASURER
5848 SEGENETT DR
MARRERO LA 70072

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/7/18
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P40 - Family Services
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name TIFFANY JAMES
Signature Title SECRETARY
Signature Date 10/4/18

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