FORM 1023-EZ for CORLISS RENEE VETERANS LIFE NETWORKINC

Field Data
EIN 82-5216850
Case Number EO-2018128-000167
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CORLISS RENEE VETERANS LIFE NETWORKINC
Organization’s Mailing Address 2293 FAIRWAY CIRCLE SW
City ATLANTA
State GA
ZIP 30331
Accounting period End 12
Primary contact name REKELIA MICHELLE ROZIER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

REKELIA MICHELLE ROZIER
PRESIDENT
2293 FAIRWAY CIRCLE SW
ATLANTA GA 30331

Officer/Director/Trustee Two

CHARLENA JACKSON
VICE PRESIDENT
3101 LORNA ROAD
HOOVER AL 35216

Officer/Director/Trustee Three

SOPHRONIA BLOCKER
SECRETARY
22854 COUNTY RIDGE PKWY
MCCALLA AL 35111

Officer/Director/Trustee Four

LATOSHIA BELSER
TREASURER
4536 SHADOW RIDGE PARKWAY
PINSON AL 35126

Officer/Director/Trustee Five

DENNIS ROZIER
BOARD MEMBER
2293 FAIRWAY CIRCLE SW
ATLANTA GA 30331

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/17/18
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 REKELIA MICHELLE ROZIER
Signature Title PRESIDENT
Signature Date 4/30/18

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