FORM 1023-EZ for LIFE RESTORED INC
| Field | Data |
|---|---|
| EIN | 84-3318444 |
| Case Number | EO-2020041-000610 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | LIFE RESTORED INC |
| Organization’s Mailing Address | 16000 WEST NINE MILE ROAD STE 303C |
| City | SOUTHFIELD |
| State | MI |
| ZIP | 48075 |
| Accounting period End | 12 |
| Primary contact name | JAMEKA SCOTT |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
JAMEKA SCOTT
PRESIDENT
19785 W 12 MILE STE 659
SOUTHFIELD MI 48076
Officer/Director/Trustee Two
ERICA ALLEN
PRESIDENT
16000 WEST NINE MILE ROAD STE 303C
SOUTHFIELD MI 48075
Officer/Director/Trustee Three
CHARLOTTE JOHNSON
TREASURER
16000 WEST NINE MILE ROAD STE 303C
SOUTHFIELD MI 48075
Officer/Director/Trustee Four
DEBRA ALLEN
SECRETARY
16000 WEST NINE MILE ROAD STE 303C
SOUTHFIELD MI 48075
Officer/Director/Trustee Five
VANESSA DUNNIGAN
BOARD MEMBER
19785 W 12 MILE STE 659
SOUTHFIELD MI 48076
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 11/19/2019 |
| Organization Incorporation State | MI |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P80 - Services to Promote the Independence of Specific Populations |
| 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 | Yes |
| Financial transactions with officers | No |
| Unrelated Gross Income $1,000 or More | No |
| Gaming Activity | Yes |
| 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 | ERICA ALLEN |
| Signature Title | PRESIDENT |
| Signature Date | 2/7/2020 |
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