FORM 1023-EZ for RECONCILIATION MOVEMENT INC

Field Data
EIN 47-3238632
Case Number EO-2017289-000090
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name RECONCILIATION MOVEMENT INC
Organization’s Mailing Address PO BOX 741125
City RIVERDALE
State GA
ZIP 30274
Accounting period End 12
Primary contact name NICOLE BENTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NICOLE BENTON
PRESIDENT
6441 RIVER PARK DR
RIVERDALE GA 30274

Officer/Director/Trustee Two

DERRICK BENTON
CFO
6441 RIVER PARK DR
RIVERDALE GA 30274

Officer/Director/Trustee Three

DANIELLE HILLMAN
SECRETARY
772 POINTE SOUTH PKWY
JONESBORO GA 30238

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/17/2015
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date
EIN 47-3238632
Case Number EO-2015070-000887
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name RECONCILIATION MOVEMENT INC
Organization’s Mailing Address 8455 HWY 85 BLDG 200 SUITE E
City RIVERDALE
State GA
ZIP 30274
Accounting period End 2
Primary contact name NICOLE N BENTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

NICOLE BENTON
PRESIDENT
225 JOHNSON RD 39C
FOREST PARK GA 30297

Officer/Director/Trustee Two

DANIELLE HILLMAN
SECRETARY
772 POINTE SOUTH PKWY
JONESBORO GA 30238

Officer/Director/Trustee Three

DERRICK BENTON
CFO
225 JOHNSON RD 39C
Forest Park GA 30297

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/23/2015
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: Yes
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds Yes
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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