FORM 1023-EZ for PROJECT RESTORATION INC

Field Data
EIN 37-1660384
Case Number EO-2017326-000120
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PROJECT RESTORATION INC
Organization’s Mailing Address P O BOX 15
City EBONY
State VA
ZIP 23845-0015
Accounting period End 12
Primary contact name CHARLENE JONES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVID LIVELY
PRESIDENT/DIRECTOR
P O BOX 15
EBONY VA 23845-0015

Officer/Director/Trustee Two

CHARLENE JONES
TREASURER/DIRECTOR
P O BOX 15
EBONY VA 23845-0015

Officer/Director/Trustee Three

BAIN CAMERON
SECREATARY/DIRECTOR
P O BOX 15
EBONY VA 23845-0015

Officer/Director/Trustee Four

ROB MCCOY
DIRECTOR
P O BOX 15
EBONY VA 23845-0015

Officer/Director/Trustee Five

PHYLLIS CAMERON
DIRECTOR
P O BOX 15
EBONY VA 23845-0015

Organization’s website
Organization’s email PROJECTRESTORATION23845@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/3/2012
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
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 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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date
EIN 37-1660384
Case Number EO-2014258-000506
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PROJECT RESTORATION INC
Organization’s Mailing Address P O BOX 15
City EBONY
State VA
ZIP 23845-0015
Accounting period End 12
Primary contact name DR DAVID R LIVELY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DAVID LIVELY
PRESIDENT
P O BOX 15
EBONY VA 23845-0015

Officer/Director/Trustee Two

DALE BAIRD
TREASURER
P O BOX 15
EBONY VA 23845-0015

Officer/Director/Trustee Three

JEFF MORAN
VICE PRESIDENT
P O BOX 15
EBONY VA 23845-0015

Officer/Director/Trustee Four

WESLEY MORRIS
SECRETARY
P O BOX 15
EBONY VA 23845-0015

Officer/Director/Trustee Five

CLAUDE BRAME
MEMBER BD OF DIRECTORS
P O BOX 15
EBONY VA 23845-0015

Organization’s website NA
Organization’s email PROJECTRESTORATION23845@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/3/2012
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K31 - Food Banks, Food Pantries
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 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
Signature Title
Signature Date

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