FORM 1023-EZ for LIFT4LIFE

Field Data
EIN 47-5236588
Case Number EO-2016069-000288
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LIFT4LIFE
Organization’s Mailing Address 918 GEORGE ALLEN DRIVE
City SOUTH VIENNA
State OH
ZIP 45369
Accounting period End 10
Primary contact name JOHN DOWNING
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JOHN DOWNING
PRESIDENT
918 GEORGE ALLEN DRIVE
SOUTH VIENNA OH 45369

Officer/Director/Trustee Two

KELSIE ANDERSON
SECRETARY
7185 THUNDERING HERD PLACE
DAYTON OH 45415

Officer/Director/Trustee Three

DAVID YEUNG
TREASURER
3600 REED RD UNIT 20
COLUMBUS OH 43220

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/2/2015
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 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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