FORM 1023-EZ for RESTART YOUR LIFE-RENEW YOUR MIND

Field Data
EIN 47-4791057
Case Number EO-2016211-000256
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name RESTART YOUR LIFE-RENEW YOUR MIND
Organization’s Mailing Address 157 MELISSA LANE
City WEST CHESTER
State PA
ZIP 19380
Accounting period End 12
Primary contact name CHRISTINA MCELROY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KEVIN MCDONALD
PRESIDENT
157 MELISSA LANE
WEST CHESTER PA 19380

Officer/Director/Trustee Two

JEFF HAMPTON
SECRETARY
1325 COPELAND SCHOOL RD
WEST CHESTER PA 19380

Officer/Director/Trustee Three

KEVIN MCDEVITT
TREASURER
812 MONTBARD DRIVE
WEST CHESTER PA 19382

Officer/Director/Trustee Four

CHRISTINA MCELROY
ASST SECRETARY
117 W HILLSIDE DRIVE
OXFORD PA 19363

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/1/2016
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E12 - Fund Raising and/or Fund Distribution
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 No
Gaming Activity No
Disaster relief assistance No
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
Signature Title
Signature Date

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