FORM 1023-EZ for THE RECLIMED LIFE INC

Field Data
EIN 47-5253463
Case Number EO-2017270-000412
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE RECLIMED LIFE INC
Organization’s Mailing Address 16505 E 13 MILE RD
City FRASER
State MI
ZIP 48026
Accounting period End 12
Primary contact name PATRICK DORRIS JR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PATRICK DORRIS
PRESIDENT
19110 E 13 MILE ROAD
ROSEVILLE MI 48066

Officer/Director/Trustee Two

JENESE DORRIS
SECRETARY
19110 E 13 MILE ROAD
ROSEVILLE MI 48066

Officer/Director/Trustee Three

PATRICK DORRIS
TREASURER
19110 E 13 MILE ROAD
ROSEVILLE MI 48066

Officer/Director/Trustee Four

FREDRICK KOSTRICK
DIRECTOR
16479 E 13 MILE RD
FRASER MI 48026

Officer/Director/Trustee Five

PATRICK DORRIS
TRUSTEE
19110 E 13 MILE RD
ROSEVILLE MI 48066

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/3/2015
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I40 - Rehabilitation Services for Offenders
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 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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