FORM 1023-EZ for RESTORING LIFE RESTORATION CENTER CORP

Field Data
EIN 47-4584503
Case Number EO-2016305-000159
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name RESTORING LIFE RESTORATION CENTER CORP
Organization’s Mailing Address 109 ARNELL COURT
City NEW CASTLE
State DE
ZIP 19720
Accounting period End 8
Primary contact name LAVERNE BOOKER-KORNEGAY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LAVERNE BOOKER-KORNEGAY
PRESIDENT
109 ARNELL COURT
NEW CASTLE DE 19720

Officer/Director/Trustee Two

JOSEPH KORNEGAY
VICE PRESIDENT
109 ARNELL COURT
NEW CASTLE DE 19720

Officer/Director/Trustee Three

EVANS MONTLOUIS
BOARD OF DIRECTORS
161 LEHIGH AVENUE
NEWARK NJ 07112

Officer/Director/Trustee Four

GABRIELLE MONTLOUIS
BOARD OF DIRECTORS
109 ARNELL COURT
NEW CASTLE DE 19720

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/5/2016
Organization Incorporation State DE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P43 - Family Violence Shelters, Services
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 Yes
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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