FORM 1023-EZ for LUTHERANS FOR LIFE INC

Field Data
EIN 84-2951051
Case Number EO-2019252-000204
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LUTHERANS FOR LIFE INC
Organization’s Mailing Address 1573 SURREY DRIVE
City BOURBONNAIS
State IL
ZIP 60914-9341
Accounting period End 12
Primary contact name DAVID BOTTORFF
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVID BOTTORFF
PRESIDENT
1573 SURREY DR
BOURBONNAIS IL 60914-9341

Officer/Director/Trustee Two

LAURA LAESCH
VICE-PRESIDENT
16640 STEPHENS ROAD
NEWARK IL 60541-9752

Officer/Director/Trustee Three

DONNA MOODY
TREASURER
1800 STATE HIGHWAY 78N
JACKSONVILLE IL 62650-6020

Officer/Director/Trustee Four

JOYCE FASSIG
SECRETARY
1106 WISCONSIN AVE
MENDOTA IL 61342-1570

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/30/87
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: No
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 No
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DAVID BOTTORFF
Signature Title PRESIDENT
Signature Date 9/5/19

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