FORM 1023-EZ for SPRINGFIELD FAMILY LIFE CENTER

Field Data
EIN 86-3144265
Case Number EO-2021119-000275
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SPRINGFIELD FAMILY LIFE CENTER
Organization’s Mailing Address 62 COUNTY ROAD 106
City ABBEVILLE
State MS
ZIP 38601
Accounting period End 12
Primary contact name JERRY MALONE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RICHARD LEWIS
DIRECTOR
62 CR 106
ABBEVILLE MS 38601

Officer/Director/Trustee Two

IRISH MALONE
SECRETARY
62 CR 106
ABBEVILLE MS 38601

Officer/Director/Trustee Three

WILLIAM THOMPSON
TREASUER
62 CR 106
ABBEVILLE MS 38601

Officer/Director/Trustee Four

BRUCE BUFORD
BOARD MEMBER
62 CR 106
ABBEVILLE MS 38601

Officer/Director/Trustee Five

KENNETH BUFORD
BOARD MEMBER
62 CR 106
ABBEVILLE MS 38601

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/8/2021
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
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 RICHARD LEWIS
Signature Title DIRECTOR
Signature Date 4/27/2021

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