FORM 1023-EZ for LIFE SPARX

Field Data
EIN 85-3841245
Case Number EO-2021154-000224
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LIFE SPARX
Organization’s Mailing Address 603 LUDHAM TRAIL
City PICKERINGTON
State OH
ZIP 43147
Accounting period End 12
Primary contact name YAVES ELLIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHN ELLIS
BOARD MEMBER
921 HARBINGER CIRCLE E
WHITEHALL OH 43213

Officer/Director/Trustee Two

AARON MACKEY
BOARD MEMBER
1286 EASTHILL DRIVE
COLUMBUS OH 43213

Officer/Director/Trustee Three

SINCERE FOUNTAIN
BOARD MEMBER
364 HAMILTON AVENUE
COLUMBUS OH 43203

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/1/2020
Organization Incorporation State OH
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: 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 JOHN ELLIS
Signature Title BOARD MEMBER
Signature Date 6/1/2021

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