FORM 1023-EZ for LIFESTONE INTERNATIONAL INC

Field Data
EIN 45-2725471
Case Number EO-2019322-000239
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LIFESTONE INTERNATIONAL INC
Organization’s Mailing Address 937 INDIAN HILLS PKWY
City MARIETTA
State GA
ZIP 30068
Accounting period End 11
Primary contact name SHINE PAUL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHINE PAUL
PRESIDENT
2201 GREENAN DRIVE
TROPHY CLUB TX 76262

Officer/Director/Trustee Two

CHRISTINE JARRAT
TREASURER
937 INDIAN HILLS PKWY
MARIETTA GA 30068

Officer/Director/Trustee Three

STEVE RUIZ
DIRECTOR OF DEVELOPMENT
10928 FAROLA DRIVE
ALBUQUERQUE NM 87114

Officer/Director/Trustee Four

PETER LEE
DIRECTOR OF DEVELOPMENT
9112 LUCYS OVERLOOK WAY
ELLICOTT CITY MD 21042

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/12/11
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name PETER LEE
Signature Title DIRECTOR OF DEVELOPMENT
Signature Date 11/14/19

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