FORM 1023-EZ for DONATE LIFE FUND

Field Data
EIN 82-0795467
Case Number EO-2017075-000365
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DONATE LIFE FUND
Organization’s Mailing Address 1227 EMERALD BAY
City LAGUNA BEACH
State CA
ZIP 92651-1262
Accounting period End 12
Primary contact name LISA AVERY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LISA AVERY
CHIEF EXECUTIVE OFFICER
1227 EMERALD BAY
LAGUNA BEACH CA 92651-1262

Officer/Director/Trustee Two

TINA SCHINDLER
TREASURER
1227 EMERALD BAY
LAGUNA BEACH CA 92651-1262

Officer/Director/Trustee Three

JEAN MCCOY
CHAIRPERSON
1227 EMERALD BAY
LAGUNA BEACH CA 92651-1262

Organization’s website DONATELIFEFUND.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/21/2017
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G40 - Diseases of Specific Organs
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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