FORM 1023-EZ for LIFE REVITALIZATION DEVELOPMENT CENTER INC

Field Data
EIN 26-1833023
Case Number EO-2015205-000237
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LIFE REVITALIZATION DEVELOPMENT CENTER INC
Organization’s Mailing Address W LEHIGH AVENUE STE 202
City PHILADELPHIA
State PA
ZIP 19133
Accounting period End 12
Primary contact name C JONES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

VANCE DASH SR
PRESIDENT
1201 W LEHIGH AVE
PHILADELPHIA PA 19133

Officer/Director/Trustee Two

VERNELL SMITH-DASH
VICE PRESIDENT
1201 W LEHIGH AVE
PHILADELPHIA PA 19133

Officer/Director/Trustee Three

BERNADETTE MILLER
SECRETARY
1201 W LEHIGH AVE
PHILADELPHIA PA 19133

Organization’s website
Organization’s email LIFECENTER@RHEMADELCTR.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/25/2009
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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