FORM 1023-EZ for AWAKENING LIFE INC

Field Data
EIN 27-0083846
Case Number EO-2014287-000248
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name AWAKENING LIFE INC
Organization’s Mailing Address 7516 ARLINGTON BLVD
City FALLS CHURCH
State VA
ZIP 22042-1301
Accounting period End 12
Primary contact name HELEN ZUBALY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

J ROBERT GRIBBLE
PRESIDENT
PO BOX 424
SHARON CENTER OH 44274

Officer/Director/Trustee Two

PAUL BERGLUND
SECRETARY
10425 DECKER AVVE
OVERLAND MO 64114

Officer/Director/Trustee Three

HELEN ZUBALY
TREASURER
7516 ARLINGTON BLVD
FALLS CHURCH VA 22042-1301

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/1/2004
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B60 - Adult, Continuing Education
Organization’s purpose Charitable: No
Religious: No
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 Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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