FORM 1023-EZ for LIFESTREAM MINISTRIES

Field Data
EIN 82-1052245
Case Number EO-2018107-000688
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LIFESTREAM MINISTRIES
Organization’s Mailing Address PO BOX 40931
City EUGENE
State OR
ZIP 97404-169
Accounting period End 12
Primary contact name COREY BROOKS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SAMUEL KALIGITHI
PRESIDENT
453 RALSTON APT 3
SAN FRANCISCO CA 94132-2639

Officer/Director/Trustee Two

DIANE COWLES
VICE PRESIDENT
190 IVERSON RD
FORKS WA 98331-9736

Officer/Director/Trustee Three

MENDEL REID
SECRETARY
898 S HORNING
MANSFIELD OH 44903-7714

Officer/Director/Trustee Four

COREY BROOKS
TREASURER
PO BOX 40175
EUGENE OR 97404-23

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/23/17
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X21 - Protestant
Organization’s purpose Charitable: Yes
Religious: Yes
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 No
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 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 COREY BROOKS
Signature Title TREASURER
Signature Date 3/27/18

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