FORM 1023-EZ for CHRISTS LIFE CENTER MINISTRIES INTERNATIONAL

Field Data
EIN 30-0234091
Case Number EO-2019219-000169
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CHRISTS LIFE CENTER MINISTRIES INTERNATIONAL
Organization’s Mailing Address 3907 HENRY STREET SW
City GRANDVILLE
State MI
ZIP 49418
Accounting period End 6
Primary contact name EDWARD ADJEI-PREMPEH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KENNETH THOMPSON
PRESIDENT/TREASURER
3907 HENRY ST SW
GRANDVILLE MI 49418

Officer/Director/Trustee Two

RAJINI VAN FAROWE
DIRECTOR/SECRETARY
7157 PLACITA CT
GRAND RAPIDS MI 49546

Officer/Director/Trustee Three

RAVI JAI KAMARA
DIRECTOR
1308 GRAND PLANK DR
VANICO FL 33594

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/13/04
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P40 - Family Services
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 RAJINI VAN FAROWE
Signature Title DIRECTOR/SECRETARY
Signature Date 8/5/19

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