FORM 1023-EZ for RENEWAL OF ALCOHOLICS LIFE FOUNDATION INC

Field Data
EIN 47-2856419
Case Number EO-2015036-000179
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name RENEWAL OF ALCOHOLICS LIFE FOUNDATION INC
Organization’s Mailing Address 10 SAGEBRUSH TRAIL
City COVINGTON
State GA
ZIP 30014
Accounting period End 12
Primary contact name RUTH A ADKINS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JANICE TERRELL
PRESIDENT, DIRECTOR
110 PEBBLE LN
COVINGTON GA 30016

Officer/Director/Trustee Two

MINDEE RANDOLPH
VICE PRESIDENT, DIRECTOR
610 PEBBLE BLVD
COVINGTON GA 30016

Officer/Director/Trustee Three

RUTH A ADKINS
TREASU/SECRETARY, DIRECTOR
10 SAGEBRUSH TRAIL
COVINGTON GA 30014

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/15/2015
Organization Incorporation State GA
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: Yes
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 Yes
Conducting Activities Outside of United States Yes
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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