FORM 1023-EZ for CELEBRATE LIFE YA UN MISSION INCORPORATED

Field Data
EIN 86-3307723
Case Number EO-2021109-000607
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CELEBRATE LIFE YA UN MISSION INCORPORATED
Organization’s Mailing Address 131 POPLAR RIDGE RD
City PINEY FLATS
State TN
ZIP 37686
Accounting period End 12
Primary contact name DORIS KAIFA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DORIS KAIFA
PRESIDENT
1444 EAST LAKEVIEW DRIVE APT 202
JOHNSON CITY TN 37601

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/31/2021
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A27 - Community Celebrations
Organization’s purpose Charitable: Yes
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 DORIS KAIFA
Signature Title PRESIDENT
Signature Date 4/16/2021

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