FORM 1023-EZ for WORLD RESTORATION VILLAGE INC

Field Data
EIN 46-4076013
Case Number EO-2016274-000193
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WORLD RESTORATION VILLAGE INC
Organization’s Mailing Address 4004 DORRIS ST
City CHATTANOOGA
State TN
ZIP 37410
Accounting period End 12
Primary contact name KEVIN BEAMON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

E JONATHAN THOMAS
PRESIDENT
4909 CAMERON LANE
CHATTANOOGA TN 37411

Officer/Director/Trustee Two

WILLIE THOMAS
VICE PRESIDENT
1037 AMBROSE LANE
HIXSON TN 37343

Officer/Director/Trustee Three

REGINALD JORDAN
SECRETARY TREASURER
819 DARRYL LANE
EAST RIDGE TN 37412

Organization’s website
Organization’s email ONECONCEPTINTERNATIONAL@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/12/2012
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B90 - Educational Services and Schools - Other
Organization’s purpose Charitable: No
Religious: No
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 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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