FORM 1023-EZ for COMMUNITY LIFE

Field Data
EIN 84-4781808
Case Number EO-2020135-000098
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COMMUNITY LIFE
Organization’s Mailing Address 301 NORRIS STREET
City WILLIAMSTON
State NC
ZIP 27892
Accounting period End 12
Primary contact name JACQUELINE STANLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHONTAE ANDREWS
PRESIDENT
301 HARRIS STREET
WILLIAMSTON NC 27892

Officer/Director/Trustee Two

TALAYA BIGGS
VICE PRESIDENT
103 PARK STREET
WILLAIMSTON NC 27892

Officer/Director/Trustee Three

BARBARA BIGGS
TREASURER
203 RAY STREET
WILLIAMSTON NC 27892

Officer/Director/Trustee Four

IRESA BELL
SECRETARY
1403 ELI BOWEN ROAD
WILLIAMSTON NC 27892

Officer/Director/Trustee Five

JOVEETA BROWN
CHAIRPERSON
1164 LUM BROWN ROAD
WILLIAMSTON NC 27892

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/26/2020
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
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 Yes
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name SHONTAE ANDREWS
Signature Title PRESIDENT
Signature Date 5/12/2020

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