FORM 1023-EZ for FAMILY LIFE INSTITUTE INC

Field Data
EIN 83-1630314
Case Number EO-2018242-000094
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FAMILY LIFE INSTITUTE INC
Organization’s Mailing Address 502 POINT ROYAL DR
City ROCKWALL
State TX
ZIP 75087
Accounting period End 12
Primary contact name ROOSEVELT BROACH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROOSEVELT BROACH
DIRECTOR
502 POINT ROYAL DR
ROCKWALL TX 75087

Officer/Director/Trustee Two

ROSALYN BROACH
DIRECTOR
502 POINT ROYAL DR
ROCKWALL TX 75087

Officer/Director/Trustee Three

JOSHUA BROACH
DIRECTOR
502 POINT ROYAL
ROCKWALL TX 75087

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/3/18
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P72 - Half-Way House (Short-Term Residential Care)
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 ROOSEVELT BROACH
Signature Title DIRECTOR
Signature Date 8/28/18

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