FORM 1023-EZ for NEW LIFE SHELTER INC

Field Data
EIN 47-2393132
Case Number EO-2018262-000083
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NEW LIFE SHELTER INC
Organization’s Mailing Address 504 E LOCUST STREET
City NEVADA
State MO
ZIP 64772
Accounting period End 12
Primary contact name CHAD BAILEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHAD BAILEY
PRESIDENT
504 E LOCUST STREET
NEVADA MO 64772

Officer/Director/Trustee Two

RUTH BAILEY
VICE PRESIDENT & TREASURER
504 E LOCUST STREET
NEVADA MO 64772

Officer/Director/Trustee Three

SHANE WRIGHT
SECRETARY
504 E LOCUST STREET
NEVADA MO 64772

Officer/Director/Trustee Four

RICK RICHTER
DIRECTOR
1114 N MAIN STREET
NEVADA MO 64772

Officer/Director/Trustee Five

VIRGINIA CREEK
DIRECTOR
504 E LOCUST STREET
NEVADA MO 64772

Organization’s website WWW.NEWLIFESHELTER.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/1/14
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P72 - Half-Way House (Short-Term Residential Care)
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 Yes
Donation of funds Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name CHAD BAILEY
Signature Title PRESIDENT
Signature Date 9/17/18

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