FORM 1023-EZ for HOUSE OF LIFE

Field Data
EIN 86-3087917
Case Number EO-2021104-000932
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HOUSE OF LIFE
Organization’s Mailing Address 718 GRANT AVE
City VIRGINIA BEACH
State VA
ZIP 23452
Accounting period End 12
Primary contact name CARSHENA DRUMMER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CARSHENA DRUMMER
PRESIDENT
718 GRANT AVE
VIRGINIA BEACH VA 23452

Officer/Director/Trustee Two

DANIELLE CONYERS
VICE PRESIDENT
762 DENISON COURT
NORFOLK VA 23513

Officer/Director/Trustee Three

DRUMMER DRUMMER
SECRETARY
4267 COLE CREEK DRIVE
INDIAN LAND SC 29707

Officer/Director/Trustee Four

TERREON COYERS CONYERS
TREASURER
762 DENISON COURT
NORFOLK VA 53513

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/12/2021
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 No
Correctness Declaration Yes
Signature Name CARSHENA DRUMMER
Signature Title PRESIDENT
Signature Date 4/12/2021

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