FORM 1023-EZ for LIFECITY CHURCH

Field Data
EIN 46-3290976
Case Number EO-2017272-000383
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LIFECITY CHURCH
Organization’s Mailing Address 792 LAURIE AVE
City SANTA CLARA
State CA
ZIP 95054-5134
Accounting period End 12
Primary contact name MELISSA GLYNN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHN MARKUM
PASTOR
792 LAURIE AVE
SANTA CLARA CA 95054-5134

Officer/Director/Trustee Two

MELISSA GLYNN
ADMINISTRATIVE DIRECTOR
3796 PINEWOOD PL
SANTA CLARA CA 95054-5134

Officer/Director/Trustee Three

CHRISTIAN LUPER
WORSHIP DIRECTOR
1560 CIELO VISTA LN
GILROY CA 95020-6697

Officer/Director/Trustee Four

AUBREY MONROE
KIDSTOWN DIRECTOR
5018 RUE CALAIS
SAN JOSE CA 95136-1130

Officer/Director/Trustee Five

DEREK GLYNN
PASTORAL ADVISORY TEAM CHAIRMAN
3796 PINEWOOD PL
SANTA CLARA CA 95054-5134

Organization’s website WWW.LIFECITYNOW.ORG
Organization’s email HELLO@LIFECITYNOW.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/30/2017
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
Gaming Activity No
Disaster relief assistance Yes
One Third Support Public No
One Third Support Gifts Yes
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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