FORM 1023-EZ for LIFECHANGERS INC

Field Data
EIN 47-3276676
Case Number EO-2015064-000173
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LIFECHANGERS INC
Organization’s Mailing Address 510 W SAVAGE ST
City WICKENBURG
State AZ
ZIP 85390
Accounting period End 12
Primary contact name BRENDA M HERSHKOWITZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CARSON THOMAS
PRESIDENT
PO BOX 1345
WICKENBURG AZ 85358

Officer/Director/Trustee Two

CARMELITA L BROWN
SECRETARY
1590 CALLE SIMPATICO
WICKENBURG AZ 85390

Officer/Director/Trustee Three

PATRICIA J SICKLES
VICE PRESIDENT
3725 OLD STAGE COACH RD
WICKENBURG AZ 85390

Officer/Director/Trustee Four

BRUCE D YENERICH
DIRECTOR
PO BOX 232
WICKENBURG AZ 85358

Officer/Director/Trustee Five

BRENDA M HERSHKOWITZ
TREASURER
1590 W JONES RD
WICKENBURG AZ 85390

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/20/2015
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T12 - Fund Raising and/or Fund Distribution
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 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
Signature Title
Signature Date

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