FORM 1023-EZ for CHRIST LIFE COMMUNITY CENTER INC

Field Data
EIN 83-4381385
Case Number EO-2019128-000131
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CHRIST LIFE COMMUNITY CENTER INC
Organization’s Mailing Address 2201 TENNESSEE ST
City GARY
State IN
ZIP 46407
Accounting period End 12
Primary contact name ANGELA G CROSSIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANTHONY K WILLIAMS
PRESIDENT
264 HUNT CLUB DR
VALPARAISO IN 46385

Officer/Director/Trustee Two

RASHAD LIGHTSEY
TREASURER
237 MARCLIFFE DR APT 6
VALPARAISO IN 46385

Officer/Director/Trustee Three

TARYN Y EASTLAND
SECRETARY
2250 OHIO STREET
GARY IN 46407

Officer/Director/Trustee Four

EVELYN ABERNATHA
DIRECTOR
2007 W 75TH PLACE UNIT 34
MERRILLVILLE IN 46410

Officer/Director/Trustee Five

ISAIAH WILLIAMS
BOARD MEMBER
500 W 61ST AVENUE
MERRILLVILLE IN 46410

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/11/19
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 No
Conducting Activities Outside of United States No
Financial transactions with officers Yes
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 ANTHONY K WILLIAMS
Signature Title PRESIDENT
Signature Date 5/6/19

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