FORM 1023-EZ for RESTORATION OF LIFE

Field Data
EIN 46-5770802
Case Number EO-2014365-000129
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name RESTORATION OF LIFE
Organization’s Mailing Address PO BOX 4122
City GARY
State IN
ZIP 46404-4122
Accounting period End 6
Primary contact name LECHRISTIEN RENEE BOX
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LECHRISTIEN BOX
CEO
759 GARFIELD
GARY IN 46404-4122

Officer/Director/Trustee Two

RITA DANIELS
BOARD OF DIRECTORS
3529 JOHNSON ST
GARY IN 46404-1550

Officer/Director/Trustee Three

TERRY MORROW-UNDERWOOD
BOARD OF DIRECTORS
6401 TAFT ST
MERRILLVILLE IN 46410-3153

Officer/Director/Trustee Four

ROWANDA ANDERSON
BOARD OF DIRECORS
1525 RHODE ISLAND
GARY IN 46407-1530

Organization’s website HTTP://RESTORELIFE.WIX.COM/RESTOREHOPE
Organization’s email RESTORINGLIFE7@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/19/2013
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 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 Yes
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
Signature Title
Signature Date

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