FORM 1023-EZ for LIFE MINISTRIES

Field Data
EIN 84-1863769
Case Number EO-2019148-000316
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LIFE MINISTRIES
Organization’s Mailing Address 701 PONDVIEW CT
City ROCKY MOUNT
State NC
ZIP 27804
Accounting period End 1
Primary contact name MICHAEL DIXON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL DIXON
EXECUTIVE DIRECTOR
701 PONDVIEW CT
ROCKY MOUNT NC 27804

Officer/Director/Trustee Two

GLENN HOWELL
LEADERSHIP TEAM MEMBER
473 FILLMORE ROAD
TARBORO NC 27886

Officer/Director/Trustee Three

JUSTIN HIPSKEY
LEADERSHIP TEAM MEMBER
2412 LIRIOPE DRIVE
ROCKY MOUNT NC 27801

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/21/19
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F20 - Alcohol, Drug and Substance Abuse, Dependency Prevention and Treatment
Organization’s purpose Charitable: Yes
Religious: Yes
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 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 MICHAEL DIXON
Signature Title EXECUTIVE DIRECTOR
Signature Date 5/23/19

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