FORM 1023-EZ for ROCK LIFE MEMPHIS INC

Field Data
EIN 47-3013491
Case Number EO-2020209-000922
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ROCK LIFE MEMPHIS INC
Organization’s Mailing Address 2240 CEDARWOOD COVE
City SOUTHAVEN
State MS
ZIP 38671
Accounting period End 10
Primary contact name MAURICE MOSBY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MAURICE MOSBY
PRESIDENT
2240 CEDARWOOD
SOUTHAVEN MS 38671

Officer/Director/Trustee Two

ASHLEY BROWN
SECRETARY
VCMS 200 MADISON AVE OP 423
MEMPHIS TN 38103

Officer/Director/Trustee Three

JUSTIN JOHNSON
TREASURER
VCMS 200 MADISON AVE OP 423
MEMPHIS TN 38103

Officer/Director/Trustee Four

DARNELL HARRIS
BOARD MEMBER
VCMS 200 MADISON AVE OP 423
MEMPHIS TN 38103

Officer/Director/Trustee Five

RENEE MEEKS
BOARD MEMBER
VCMS 200 MADISON AVE OP 423
MEMPHIS TN 38103

Organization’s website NA
Organization’s email MMOSBY@ROCKLIFEMEMPHIS.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/3/2012
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A60 - Performing Arts Organizations
Organization’s purpose Charitable: Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MAURICE MOSBY
Signature Title PRESIDENT
Signature Date 7/21/2020
EIN 47-3013491
Case Number EO-2015058-000181
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ROCK LIFE MEMPHIS
Organization’s Mailing Address 1841 WAVERLY AVENUE
City MEMPHIS
State TN
ZIP 38114
Accounting period End 10
Primary contact name MAURICE MOSBY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MAURICE MOSBY
DIRECTOR
1841 WAVERLY AVE
MEMPHIS TN 38114

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/3/2013
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A60 - Performing Arts Organizations
Organization’s purpose Charitable: No
Religious: Yes
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 Yes
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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