FORM 1023-EZ for LIBERIAN REFORMATION NETWORK INC

Field Data
EIN 81-4043273
Case Number EO-2016347-000016
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LIBERIAN REFORMATION NETWORK INC
Organization’s Mailing Address 12965 BUCHANAN STREET NE SUITE B
City BLAINE
State MN
ZIP 55434-4044
Accounting period End 12
Primary contact name VERONICA LEWIS-DAWKINS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHARLES CECIL DENNIS III
PRESIDENT/DIRECTOR
12965 BUCHANAN STREET NE SUITE B
BLAINE MN 55434-4044

Officer/Director/Trustee Two

VERONICA LEWIS-DAWKINS
DIRECTOR/COO
12965 BUCHANAN STREET NE SUITE B
BLAINE MN 55434-4044

Officer/Director/Trustee Three

VERIAN WALKER-WILSON
DIRECTOR
12965 BUCHANAN STREET NE SUITE B
BLAINE MN 55434-4044

Officer/Director/Trustee Four

STEPHEN WREH-WILSON
DIRECTOR/COMMUNITY AFFAIRS
12965 BUCHANAN STREET NE SUITE B
BLAINE MN 55434-4044

Officer/Director/Trustee Five

PHEBE KOHA-JALLAH
DIRECTOR PROJECTS MANAGER
12965 BUCHANAN STREET NE SUITE B
BLAINE MN 55434-4044

Organization’s website WWW.LIBREFORM1.ORG
Organization’s email LIBREFORM1@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/21/2016
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
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 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 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
Signature Title
Signature Date

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