FORM 1023-EZ for CHRISTIAN LIFE INTERNATIONAL WORSHIP CENTER INC

Field Data
EIN 82-5021179
Case Number EO-2018113-000435
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CHRISTIAN LIFE INTERNATIONAL WORSHIP CENTER INC
Organization’s Mailing Address 642 OLD LIVERPOOL ROAD
City LIVERPOOL
State NY
ZIP 13088
Accounting period End 12
Primary contact name NICK ADJEI-BADU
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NICK ADJEI-BADU
PRESIDENT
121 LAFAYETTE ROAD APT 217
SYRACUSE NY 13205

Officer/Director/Trustee Two

IVY ANNAN
TREASURER
356 MOUNTAINVIEW AVE
SYRACUSE NY 13224

Officer/Director/Trustee Three

ABDUL MASSAQOUI
VICE PRESIDENT/DIRECTOR
431 WILKINSON ST
SYRACUSE NY 13204

Officer/Director/Trustee Four

PAULINA KELLY
TRUSTEE/DIRECTOR
5950 N BURDICK ST
EAST SYRACUSE NY 13057

Officer/Director/Trustee Five

JOSEPH KELLY
TRUSTEE/DIRECTOR
5950 N BURDICK ST
EAST SYRACUSE NY 13057

Organization’s website
Organization’s email CHRISTIANLIFEIWC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/28/18
Organization Incorporation State NY
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: 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 No
Correctness Declaration Yes
Signature Name NICK ADJEI-BADU
Signature Title PRESIDENT
Signature Date 4/19/18

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