FORM 1023-EZ for LIFE IN THE BLOOD MINISTRY INTERNATIONAL

Field Data
EIN 71-0935555
Case Number EO-2017236-000141
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LIFE IN THE BLOOD MINISTRY INTERNATIONAL
Organization’s Mailing Address 863 MANZANITA AVENUE
City PASADENA
State CA
ZIP 91103
Accounting period End 12
Primary contact name MICHELLE MOODY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHELLE MOODY
PRESIDENT
863 MANZANITA AVENUE
PASADENA CA 91103

Officer/Director/Trustee Two

JAMES HARREL
DIRECTOR AND TREASURER
601 NORTH GRAND AVE APT 101
LOS ANGELES CA 90012

Officer/Director/Trustee Three

STEPHANIE CHURCH
DIRECTOR AND SECRETARY
762 N FAIROAKS AVE UNIT 211
PASADENA CA 91103

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/7/2013
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X99 - Religion Related, Spiritual Development N.E.C.
Organization’s purpose Charitable: No
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 Yes
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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