FORM 1023-EZ for LIFE HOUSE MINISTRIES

Field Data
EIN 47-5082353
Case Number EO-2017278-000497
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LIFE HOUSE MINISTRIES
Organization’s Mailing Address 1852 W 11TH STREET SUITE 491
City TRACY
State CA
ZIP 95376
Accounting period End 12
Primary contact name SONIA ALLEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SONIA ALLEN
PRESIDENT
2285 BARCELONA DR
TRACY CA 95377

Officer/Director/Trustee Two

ANITRA BAILEY
SECRETARY
1676 GREEN SPRINGS CT
TRACY CA 95377

Officer/Director/Trustee Three

GABRIELA LUERA
TREASURER
390 WEST PIEDMONT DR
MOUNTIAN HOUSE CA 95391

Organization’s website LIFEHOUSELIVE.NET
Organization’s email LIVEHOUSELIVE1@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/9/2015
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 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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