FORM 1023-EZ for SOURCE OF LIFE MINISTRY INTERNATIONAL INC

Field Data
EIN 81-2943547
Case Number EO-2016235-000223
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SOURCE OF LIFE MINISTRY INTERNATIONAL INC
Organization’s Mailing Address 822 UTICA AVENUE STE 2F
City BROOKLYN
State NY
ZIP 11203-3409
Accounting period End 12
Primary contact name GREG MCRAY EA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

FRANTZ PIERRE
PRESIDENT
168 46 119TH AVE
JAMAICA NY 11434

Officer/Director/Trustee Two

YVONNE WICKHAM
SECRETARY
966 ATLANTIC AVE
BROOKLYN NY 11238

Officer/Director/Trustee Three

LUDLOW ROWE
TREASURER
713 EAST 86TH ST UNIT 3
BROOKLYN NY 11236

Officer/Director/Trustee Four

ANDREW PHILBERT
DIRECTOR
564 RIVERDALE AVE
BROOKLYN NY 11207

Officer/Director/Trustee Five

JOBIE SLADE
DIRECTOR
100 LEFFERTS AVE APT 6B
BROOKLYN NY 11225

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/5/2016
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T99 - Philanthropy, Voluntarism, and Grantmaking Foundations N.E.C.
Organization’s purpose Charitable: Yes
Religious: Yes
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 No
Donation of funds Yes
Conducting Activities Outside of United States Yes
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
Signature Title
Signature Date

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