FORM 1023-EZ for NEW LIFE VISION

Field Data
EIN 82-0958477
Case Number EO-2017172-000237
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NEW LIFE VISION
Organization’s Mailing Address 5000 ELDORADO PKWY SUITE 150-142
City FRISCO
State TX
ZIP 75033-9999
Accounting period End 12
Primary contact name BRAD OTT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GARY ALLEN
OFFICER
741 ARROWHEAD DR
PROSPER TX 75078-9999

Officer/Director/Trustee Two

CHRISTINE PARKER
OFFICER
1624 LANTERN TRAIL
FRISCO TX 75034-9999

Officer/Director/Trustee Three

BRADLEY OTT
OFFICER
503 CONNEMARA CT
CELINA TX 75009-9999

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/20/2017
Organization Incorporation State TX
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
Signature Title
Signature Date

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