FORM 1023-EZ for LIFE SOURCE FOUNDATION
| Field | Data |
|---|---|
| EIN | 85-2704265 |
| Case Number | EO-2020254-000445 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | LIFE SOURCE FOUNDATION |
| Organization’s Mailing Address | 306 CRICKLE CREEK LANE |
| City | DOVER |
| State | DE |
| ZIP | 19904-5737 |
| Accounting period End | 12 |
| Primary contact name | ANDRE BOGGERTY |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
RONI KENT
VICE PRESIDENT
7912 GILBERT STREET
PHILADELPHIA PA 19150
Officer/Director/Trustee Two
SHERI OWENS
PRESIDENT
483 EAST 27TH STREET
PATERSON NJ 07514
Officer/Director/Trustee Three
YEKEMA COLEMAN
SECRETARY
10 WISTERIA DRIVE
FORDS NJ 08863
Officer/Director/Trustee Four
ANDRE BOGGERTY
EXECUTIVE DIRECTOR
306 CRICKLE CREEK LANE
DOVER DE 19904-5737
| Organization’s website | |
|---|---|
| Organization’s email | AMBOGGERTY@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 8/26/2020 |
| Organization Incorporation State | DE |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P20 - Human Service Organizations - Multipurpose |
| 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 | Yes |
| Benefit of College | No |
| Private Foundation 508(e) | No |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | ANDRE BOGGERTY |
| Signature Title | EXECUTIVE DIRECTOR |
| Signature Date | 9/8/2020 |
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