FORM 1023-EZ for GENLIFE

Field Data
EIN 47-1288605
Case Number EO-2014232-000208
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GENLIFE
Organization’s Mailing Address 23907 WESLEY DRIVE
City FARMINGTON
State MI
ZIP 48335
Accounting period End 12
Primary contact name DERRICK STEELE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DERRICK STEELE
PRESIDENT, DIRECTOR
23907 WESLEY DRIVE
FARMINGTON MI 48335

Officer/Director/Trustee Two

DAVID ANDERSON
VICE-PRESIDENT, DIRECTOR
10804 WEST HINSDALE DRIVE
LITTLETON CO 80127

Officer/Director/Trustee Three

ROBERT WATSON
TREASURER, DIRECTOR
23848 WESLEY DRIVE
FARMINGTON MI 48335

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/16/2014
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: No
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States Yes
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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