FORM 1023-EZ for LIFE RECOVERY CENTER INC

Field Data
EIN 82-3405466
Case Number EO-2018022-000187
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LIFE RECOVERY CENTER INC
Organization’s Mailing Address 9006 BOURCHIER PLACE APT 205
City CHARLOTTE
State NC
ZIP 28262
Accounting period End 12
Primary contact name ANDREA SWINGLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANDREA SWINGLER
PRESIDENT
9006 BOURCHIER PLACE APT 205
CHARLOTTE NC 28262

Officer/Director/Trustee Two

EDITH WILLIAM
VICE PRESIDENT
5949 BRIGHTSTAR VALLEY ROAD
MINTHILL NC 28227

Officer/Director/Trustee Three

DARLENE HARRIS
SECRETARY
6523 QUARTERBRIDGE LANE
CHARLOTTE NC 28262

Officer/Director/Trustee Four

ANGELINA WHITE
TREASURER
9006 BOURCHIER PLACE APT 205
CHARLOTTE NC 28262

Officer/Director/Trustee Five

CHARLES COLLINS
DIRECTOR
PO BOX 562836
CHARLOTTE NC 28256

Organization’s website
Organization’s email ASWINGLER3@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/14/17
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L41 - Homeless, Temporary Shelter For
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 No
Donation of funds No
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ANDREA SWINGLER
Signature Title PRESIDENT
Signature Date 1/19/18

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