FORM 1023-EZ for LIFE CHANGERS MOVEMENT

Field Data
EIN 82-1139644
Case Number EO-2018071-000355
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LIFE CHANGERS MOVEMENT
Organization’s Mailing Address 7178 CROSS COUNTY ROAD SUITE 104
City NORTH CHARLESTON
State SC
ZIP 29418
Accounting period End 12
Primary contact name OTIS GORDON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

OTIS GORDON
CHIEF EXECUTIVE OFFICER
7178 CROSS COUNTY ROAD SUITE 104
NORTH CHARLESTON SC 29418

Officer/Director/Trustee Two

ANGELA RIVERS-WHITTAKER
SECRETARY
2914 CATHEDRAL LANE
CHARLESTON SC 29414

Officer/Director/Trustee Three

PAMELA DEAN
TREASURER
434 GLENMORE DRIVE
MONCKS CORNER SC 29461

Organization’s website NA
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/15/17
Organization Incorporation State SC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 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 OTIS GORDON
Signature Title CHIEF EXECUTIVE OFFICER
Signature Date 3/9/18

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