FORM 1023-EZ for CHRISTIAN LIFE MINISTRIES INTERNATIONAL

Field Data
EIN 61-1847469
Case Number EO-2020261-000218
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CHRISTIAN LIFE MINISTRIES INTERNATIONAL
Organization’s Mailing Address 3301 E COLISEUM BLVD
City FORT WAYNE
State IN
ZIP 46805
Accounting period End 12
Primary contact name KEITH TAYLOR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CARL KELLER
PRESIDENT
12212 E 87TH COURT N
OWASSO OK 74055

Officer/Director/Trustee Two

DAVID KELLER
VICE PRESIDENT
1310 GOLDSPUR DRIVE
FORT WAYNE IN 46804

Officer/Director/Trustee Three

KEITH TAYLOR
CHIEF FINANCIAL OFFICER
15858 PIERCE ST NE
HAM LAKE MN 55304

Officer/Director/Trustee Four

PAL MYRA TAYLOR
SECRETARY / TREASURER
15858 PIERCE ST NE
HAM LAKE MN 55304

Organization’s website WWW.CLM7.ORG
Organization’s email TAYLORKEITH@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/30/2017
Organization Incorporation State IN
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: 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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name KEITH TAYLOR
Signature Title CHIEF FINANCIAL OFFICER
Signature Date 9/15/2020
EIN 61-1847469
Case Number EO-2018002-000215
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CHRISTIAN LIFE MINISTRIES INTERNATIONAL
Organization’s Mailing Address 3301 E COLISEUM BLVD
City FORT WAYNE
State IN
ZIP 46805
Accounting period End 12
Primary contact name KEITH TAYLOR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CARL KELLER
PRESIDENT
12212 E 87TH COURT N
OWASSO OK 74055

Officer/Director/Trustee Two

DAVID KELLER
VICE PRESIDENT
1310 GOLDSPUR DRIVE
FORT WAYNE MN 46804

Officer/Director/Trustee Three

KEITH TAYLOR
CHIEF FINANCIAL OFFICER
15858 PIERCE ST NE
HAM LAKE MN 55304-7906

Officer/Director/Trustee Four

PAL MYRA TAYLOR
SECRETARY/TREASURER
15858 PIERCE ST NE
HAM LAKE MN 55304-7906

Organization’s website WWW.CLM7.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/30/17
Organization Incorporation State IN
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: 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 KEITH TAYLOR
Signature Title CHIEF FINANCIAL OFFICER
Signature Date 12/28/17

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