FORM 1023-EZ for LIFE CHANGE INC
| Field | Data |
|---|---|
| EIN | 82-3394682 |
| Case Number | EO-2018291-000183 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | LIFE CHANGE INC |
| Organization’s Mailing Address | 16115 JOPLIN AVE APT 1 |
| City | LAKEVILLE |
| State | MN |
| ZIP | 55044 |
| Accounting period End | 12 |
| Primary contact name | ALLAN JUST |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
ALLAN JUST
DIRECTOR CEO CFO
16115 JOPLIN AVE APT 1
LAKEVILLE MN 55044
Officer/Director/Trustee Two
GLEN ORCUTT
CHAIRMAN
16657 IREDALE PATH
LAKEVILLE MN 55044
Officer/Director/Trustee Three
NEAL JEPPSON
SEC TREASURER
166951IREDALE PATH
LAKEVILLE MN 55044
Officer/Director/Trustee Four
DAVID MCGUIRE
BOARD MEMBER
16711 FALKIRK TRAIL
PRIOR LAKE MN 55372
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 11/14/17 |
| Organization Incorporation State | MN |
| 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: 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 | 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 | ALLAN JUST |
| Signature Title | DIRECTOR CEO CFO |
| Signature Date | 10/16/18 |
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