FORM 1023-EZ for RESTORAL FAMILY MINISTRIES

Field Data
EIN 81-4846003
Case Number EO-2017079-000049
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name RESTORAL FAMILY MINISTRIES
Organization’s Mailing Address 3939 OLD SAVANNAH CT
City DOUGLASVILLE
State GA
ZIP 30135
Accounting period End 12
Primary contact name DAVID WHITE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVID WHITE
PRESIDENT
3939 OLD SAVANNAH CT
DOUGLASVILLE GA 30135

Officer/Director/Trustee Two

MELISSA WHITE
SECRETARY
3939 OLD SAVANNAH CT
DOUGLASVILLE GA 30135

Officer/Director/Trustee Three

CHRIS REASON
TREASURER
3939 OLD SAVANNAH CT
DOUGLASVILLE GA 30135

Officer/Director/Trustee Four

AMY REASON
DIRECTOR
3939 OLD SAVANNAH CT
DOUGLASVILLE GA 30135

Officer/Director/Trustee Five

MATTHEW SHAFFER
DIRECTOR
3939 OLD SAVANNAH CT
DOUGLASVILLE GA 30135

Organization’s website
Organization’s email RESTORALMINISTRIES@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/15/2016
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P46 - Family Counseling
Organization’s purpose Charitable: Yes
Religious: Yes
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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