FORM 1023-EZ for RESTORING LIVES MINISTRIES INTERNATIONAL

Field Data
EIN 81-1835743
Case Number EO-2016095-000391
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name RESTORING LIVES MINISTRIES INTERNATIONAL
Organization’s Mailing Address 4880 TIERRA VERDE ST
City LAS VEGAS
State NV
ZIP 89122
Accounting period End 12
Primary contact name JEROME ALLISON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JEROME ALLISON
PRESIDENT, DIRECTOR
4880 TIERRA VERDE ST
LAS VEGAS NV 89122

Officer/Director/Trustee Two

HARRISON TARR
SECRETARY, DIRECTOR
1405 VEGAS VALLEY DR APT 89
LAS VEGAS NV 89169

Officer/Director/Trustee Three

DANIEL SUMO
TREASURER, DIRECTOR
942 TONI AVE
LAS VEGAS NV 89119

Officer/Director/Trustee Four

NUCOR TENDEE
DIRECTOR
4801 E SAHARA AVE
LAS VEGAS NV 89104

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/10/2016
Organization Incorporation State NV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 Yes
Donation of funds Yes
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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