FORM 1023-EZ for LIFE FOUNDATION NON-PROFIT

Field Data
EIN 83-4546272
Case Number EO-2019259-001050
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LIFE FOUNDATION NON-PROFIT
Organization’s Mailing Address 2214 TANGLEVEINE DRIVE
City AUSTIN
State TX
ZIP 78748
Accounting period End 12
Primary contact name KISHA C SMITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KISHA SMITH
DIRECTOR
TANGLEVINE DRIVE
AUSTIN TX 78748

Officer/Director/Trustee Two

SHEMEKA JOHNSON
DIRECTOR
WALNUT CREEK ROAD
RIVER RIDGE LA 70123

Officer/Director/Trustee Three

DURIEL HAYES
DIRECTOR
TIMBERLANE ESTATE DRIVE
HARVEY LA 70058

Officer/Director/Trustee Four

LASHONDRA GLOVER
DIRECTOR
LONGWOOD DRIVE
LAPLACE LA 70068

Organization’s website WWW.LIFEFOUNDATIONNONPROFIT.COM
Organization’s email LIFE.FOUNDATION.NONPROFIT.ORG@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/1/19
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: Yes
Religious: No
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 No
Donation of funds No
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name KISHA SMITH
Signature Title DIRECTOR
Signature Date 9/13/19

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