FORM 1023-EZ for RESTORING LIVES INCORPORATED

Field Data
EIN 26-2025085
Case Number EO-2019318-000072
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name RESTORING LIVES INCORPORATED
Organization’s Mailing Address 5183 OLIVE BRANCH CIRCLE
City POWDER SPRINGS
State GA
ZIP 30127
Accounting period End 12
Primary contact name NICOLE BECTON-ODUM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NICOLE BECTON
PRESIDENT
5183 OLIVE BRANCH CIRCLE
POWDER SPRINGS GA 30127

Officer/Director/Trustee Two

PATRICE LIVINGSTON
TREASURER
3480 MILLARD RD
MEMPHIS TN 38109

Officer/Director/Trustee Three

ALLEN ODUM
VICE-PRESIDENT
5183 OLIVE BRANCH CIRCLE
POWDER SPRINGS GA 30127

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/19/08
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G11 - Single Organization Support
Organization’s purpose Charitable: Yes
Religious: No
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 No
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 NICOLE BECTON
Signature Title PRESIDENT
Signature Date 11/12/19

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