FORM 1023-EZ for A RESTORED LIFE

Field Data
EIN 82-3810256
Case Number EO-2018024-000250
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name A RESTORED LIFE
Organization’s Mailing Address 9509 WALKING SPIRIT COURT
City LAS VEGAS
State NV
ZIP 89129
Accounting period End 12
Primary contact name DAWN HILL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAWN HILL
DIRECTOR
9509 WALKING SPIRIT COURT
LAS VEGAS NV 89129

Officer/Director/Trustee Two

MEGAN SINISI
OFFICER
5131 WHISPER MARE COURT
LAS VEGAS NV 89131

Officer/Director/Trustee Three

LACEY STEVENS
TRUSTEE
9509 WALKING SPIRIT COURT
LAS VEGAS NV 89129

Officer/Director/Trustee Four

JEREMY HILL
TRUSTEE
7075 WEST GOWAN RD 2038
LAS VEGAS NV 89129

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/27/17
Organization Incorporation State NV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion Services)
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 No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance Yes
One Third Support Public No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DAWN HILL
Signature Title DIRECTOR
Signature Date 1/22/18

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