FORM 1023-EZ for LIFESTAR FOUNDATION INC

Field Data
EIN 82-2610000
Case Number EO-2018053-000302
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LIFESTAR FOUNDATION INC
Organization’s Mailing Address 928 CREEKSIDE CIR
City NAPERVILLE
State IL
ZIP 60563
Accounting period End 12
Primary contact name KHAIR SIDDIQUI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KHAIR SIDDIQUI
AGENT
928 CREEKSIDE CIR
NAPERVILLE IL 60563

Officer/Director/Trustee Two

AHMED SIDDIQUI
OFFICER
928 CREEKSIDE CIR
NAPERVILLE IL 60563

Officer/Director/Trustee Three

ABID SIDDIQUI
MANAGER
928 CREEKSIDE CIR
NAPERVILLE IL 60563

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/2/17
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K30 - Food Service, Free Food Distribution Programs
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 Yes
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
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 KHAIR SIDDIQUI
Signature Title AGENT
Signature Date 2/20/18

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