FORM 1023-EZ for LIFE RESTORATION CEDA

Field Data
EIN 47-3669223
Case Number EO-2015161-000533
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LIFE RESTORATION CEDA
Organization’s Mailing Address 72 PONDELLA RD
City CAPE CORAL
State FL
ZIP 33909
Accounting period End 12
Primary contact name THERESA MONTGOMERY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

THERESA MONTGOMERY
FOUNDER
1407 NE19TH TER
CAPE CORAL FL 33909

Officer/Director/Trustee Two

WARREN WHITE
DIRECTOR
1407 NE19TH TER
CAPE CORAL FL 33909

Officer/Director/Trustee Three

MICHAEL GRISSOM
DIRECTOR
1024 SHARON RD
SANTA ANA CA 92607

Officer/Director/Trustee Four

JULIE RENDER
DIRECTOR
3019 HARVARD BLVD
DAYTON OH 45406

Officer/Director/Trustee Five

DEONG MONTGOMERY
DIRECTOR
101 E MAIN ST
TROTWOOD OH 45426

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/9/2015
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S31 - Urban, Community Economic Development
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 Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
Gaming Activity No
Disaster relief assistance Yes
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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