FORM 1023-EZ for DARE TO LIVE MINISTRIES

Field Data
EIN 87-1749093
Case Number EO-2021256-000597
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DARE TO LIVE MINISTRIES
Organization’s Mailing Address 748 CHANNEL LANE
City LAWRENCEVILLE
State GA
ZIP 30046
Accounting period End 1
Primary contact name MICHELLE DEJESUS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHELLE DEJESUS
EXECUTIVE DIRECTOR
748 CHANNEL LANE
LAWRENCEVILLE GA 30046

Officer/Director/Trustee Two

MIGUEL DEJESUS
VICE PRESIDENT
748 CHANNEL LANE
LAWRENCEVILLE GA 30046

Officer/Director/Trustee Three

YOLANDA KUYKENDALL
OVERSEER
2472 CANNON FARM TRACE
DULUTH GA 30097

Officer/Director/Trustee Four

HEATHER COBB
ADMINISTRATOR
336 TRACE LANE
LAWRENCEVILLE GA 30046

Officer/Director/Trustee Five

LEROY COBB
TRUSTEE
336 TRACE LANE
LAWRENCEVILLE GA 30046

Organization’s website
Organization’s email DAREFREELY@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents No
Organization Incorporation Date 7/19/2021
Organization Incorporation State GA
Contains Limitation No
Does not expressly empower No
Contains dissolution No
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
Cruelty Prevention: No
Qualify For Exemption Yes
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 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 No
Signature Name MICHELLE DEJESUS
Signature Title EXECUTIVE DIRECTOR
Signature Date 9/10/2021

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