FORM 1023-EZ for RENEWED SPIRITS INC

Field Data
EIN 83-3227136
Case Number EO-2019036-000898
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name RENEWED SPIRITS INC
Organization’s Mailing Address 1920 ERSKINE DR
City FLORENCE
State AL
ZIP 35630
Accounting period End 12
Primary contact name DR JAMES PATRICK DAUGHERTY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SCOTT GRAVLEE
DIRECTOR
12290 HIGHWAY 72
CHEROKEE AL 35616

Officer/Director/Trustee Two

BRIDGETT NEWTON
DIRECTOR
201 CEDAR STREET
ROGERSVILLE AL 35652

Officer/Director/Trustee Three

JAMES DAUGHERTY
DIRECTOR/PRESIDENT
1920 ERSKINE DR
FLORENCE AL 35630

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/6/18
Organization Incorporation State AL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F30 - Mental Health Treatment - Multipurpose and N.E.C.
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 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 JAMES DAUGHERTY
Signature Title DIRECTOR/PRESIDENT
Signature Date 1/21/19

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