FORM 1023-EZ for LIFEHOUSE PROJECT INC

Field Data
EIN 85-1171293
Case Number EO-2020209-000487
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LIFEHOUSE PROJECT INC
Organization’s Mailing Address 3656 HENDERSON BLVD
City TAMPA
State FL
ZIP 33609
Accounting period End 6
Primary contact name SAMANTHA FOSTER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SAMANTHA FOSTER
PRESIDENT
3656 HENDERSON BLVD
TAMPA FL 33609

Officer/Director/Trustee Two

RAVI PRAKASH MULUPURI
EXECUTIVE DIRECTOR
DOOR NO 13 61 13TH WARD
DENDULURU

Officer/Director/Trustee Three

MIA MILLA SILVENNOINEN
DIRECTOR OF HEALTH
MUSEOKATU 44 D 119
HELSINKI

Officer/Director/Trustee Four

MATTHEW BROVITCH
DIRECTOR OF FINANCE
31826 HILLTOP
RUNNING SPRINGS CA 92382

Officer/Director/Trustee Five

JESSICA BROVITCH
DIRECTOR OF MENTAL HEALTH
31826 HILLTOP
RUNNING SPRINKS CA 92382

Organization’s website WWW.LIFEHOUSEPROJECT.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/1/2020
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L41 - Homeless, Temporary Shelter For
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
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 SAMANTHA FOSTER
Signature Title PRESIDENT
Signature Date 7/20/2020

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