FORM 1023-EZ for I AM A LIFE CHANGER INC

Field Data
EIN 83-2252598
Case Number EO-2020062-000105
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name I AM A LIFE CHANGER INC
Organization’s Mailing Address 4833 OLD NATIONAL HWY
City COLLEGE PARK
State GA
ZIP 30337
Accounting period End 12
Primary contact name DENISE DIXON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DENISE DIXON
PRESIDENT
8876 DALLAS ACWORTH HWY SUITE 310
DALLAS GA 30132

Officer/Director/Trustee Two

GERALD DUGGAN
DIRECTOR
124 FLOYD STREET
BRENTWOOD NY 11717

Officer/Director/Trustee Three

EDWARD HALL
SECRETARY
1958 TENNY NELSON ROAD
GRANTVILLE GA 30220

Officer/Director/Trustee Four

JOSEPH NGOME
MEMBER
77 BROOKVALLEY XING
DALLAS GA 30157-1613

Organization’s website WWW.IAMALIFERCHANGER.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/14/2018
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P80 - Services to Promote the Independence of Specific Populations
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 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 DENISE DIXON
Signature Title PRESIDENT
Signature Date 2/27/2020

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