FORM 1023-EZ for MARIAHS GIFT VALUE LIFE

Field Data
EIN 47-2959560
Case Number EO-2015084-000269
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MARIAHS GIFT VALUE LIFE
Organization’s Mailing Address 2025 EDMONT STREET
City ESCALON
State CA
ZIP 95320
Accounting period End 12
Primary contact name LILIA BACON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SUSAN IZZO
PRESIDENT
2025 EDMONT STREET
ESCALON CA 95320

Officer/Director/Trustee Two

DEBRA ELLIS
CHAIRMAN
1837 BURGNDY DR
ESCALON CA 95320

Officer/Director/Trustee Three

AUTUMN ANDERSEN
TREASURER
13901 SO CARROLTON RD
ESCALON CA 95320

Officer/Director/Trustee Four

AUTUMN ANDERSEN
SECRETARY
13901 SO CARROLTON RD
ESCALON CA 95320

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/19/2015
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
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 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
Signature Title
Signature Date

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