FORM 1023-EZ for 1LIFE

Field Data
EIN 86-1823036
Case Number EO-2021085-000163
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name 1LIFE
Organization’s Mailing Address 7933 EAST FARM ROAD 156
City ROGERSVILLE
State MO
ZIP 65742
Accounting period End 12
Primary contact name BRIAN BARKHOFF
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRIAN BARKHOFF
PRESIDENT
7931 EAST FARM ROAD 156
ROGERSVILLE MO 65742

Officer/Director/Trustee Two

AMANDA BARKHOFF
TREASURER
4441 FALL CREEK ROAD APT A
BRANSON MO 65616

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/25/2021
Organization Incorporation State MO
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 Yes
Donation of funds Yes
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 BRIAN BARKHOFF
Signature Title PRESIDENT
Signature Date 2/2/2021

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