FORM 1023-EZ for CONNECTING AND RESTORING LIVES MINISTRIES INC

Field Data
EIN 81-5433553
Case Number EO-2017061-000339
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CONNECTING AND RESTORING LIVES MINISTRIES INC
Organization’s Mailing Address 6 LITTLE FORK LANE
City JEANNETTE
State PA
ZIP 15644
Accounting period End 12
Primary contact name CANDACE HOLSING
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CANDACE HOLSING
PRESIDENT
6 LITTLE FORK LN
JEANNETTE PA 15644

Officer/Director/Trustee Two

ANTHONY BOLYEN
TREASURER
423 N 6TH STREET
YOUNGWOOD PA 15697

Officer/Director/Trustee Three

RODGER HOLSING
SECRETARY
6 LITTLE FORK LN
JEANNETTE PA 15644

Officer/Director/Trustee Four

LINDA BOLYEN
DIRECTOR
423 N 6TH STREET
YOUNGWOOD PA 15697

Organization’s website WWW.ALPHAWPA.ORG
Organization’s email CANDY@ALPHAWPA.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/22/2017
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: Yes
Religious: Yes
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
Signature Title
Signature Date

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