FORM 1023-EZ for RESTORE TO EMPOWER INC

Field Data
EIN 47-4112197
Case Number EO-2015205-000244
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name RESTORE TO EMPOWER INC
Organization’s Mailing Address 3109 WAKEFIELD STREET
City LAWRENCEVILLE
State GA
ZIP 30044
Accounting period End 12
Primary contact name ARTHLENE LEGAIR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ARTHLENE LEGAIR
PRESIDENT/CEO
3109 WAKEFIELD ST
LAWRENCEVILLE GA 30044

Officer/Director/Trustee Two

ALESHA P LEGAIR
CHIEF FINANCIAL OFFICER/VP
4987 LAVISTA ROAD
TUCKER GA 30084

Officer/Director/Trustee Three

JANEITH HYACINTH WARD
LEGAL ADVISOR
432 S CURSON AVE
LOS ANGELES CA 90036

Officer/Director/Trustee Four

RAHMA MUHAMMAD
COMMITTEE ASISTANT
PO BOX 466415
LAWRENCEVILLE GA 30042

Officer/Director/Trustee Five

LISA L LEWIS
COMMITTEE SECRETARY/PUBLIC RELATION
415 VERDUGO DR
BURBANK CA 91502

Organization’s website WWW.RESTORETOEMPOWER.ORG
Organization’s email RESTORETOEMPOWER@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/22/2015
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 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 Yes
One Third Support Gifts No
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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