FORM 1023-EZ for INTERSECTIONS4LIFE INC

Field Data
EIN 47-3320267
Case Number EO-2016032-000323
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name INTERSECTIONS4LIFE INC
Organization’s Mailing Address 13104 NW 6TH CIRCLE
City YUKON
State OK
ZIP 73099
Accounting period End 12
Primary contact name STEPHEN BECKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

STEPHEN BECKER
INCORPORATOR
13104 NW 6TH CIRCLE
YUKON OK 73099

Officer/Director/Trustee Two

DAN NEWTON
INCORPORATOR
716 E NOBLE AVE
GUTHRIE OK 73044

Officer/Director/Trustee Three

CHARLES CRUTCHER
DIRECTOR
528 WESTVIEW DRIVE
YUKON OK 73099

Organization’s website HTTP://WWW.INTERSECTIONS4LIFE.COM
Organization’s email INFO@INTERSECTIONS4LIFE.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/4/2015
Organization Incorporation State OK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X99 - Religion Related, Spiritual Development N.E.C.
Organization’s purpose Charitable: No
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 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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