FORM 1023-EZ for RESTORING LIVES INTERNATIONAL CORPORATION

Field Data
EIN 83-2035919
Case Number EO-2018276-000166
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name RESTORING LIVES INTERNATIONAL CORPORATION
Organization’s Mailing Address 262 3RD AVE
City AVONDALE ESTATES
State GA
ZIP 30002
Accounting period End 12
Primary contact name LISA WILLIAMS OR RICHARD HALL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LISA WILLIAMS
DIRECTOR
262 3RD AVE
AVONDALE ESTATES GA 30002

Officer/Director/Trustee Two

RICHARD HALL
DIRECTOR ASST
800 GLYNN OAKS DR
CLARKSTON GA 30021

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/24/18
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F80 - Mental Health Association, Multipurpose
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name LISA WILLIAMS
Signature Title DIRECTOR
Signature Date 10/1/18

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