FORM 1023-EZ for ROCK FAMILY LIFE CENTER INC

Field Data
EIN 27-3207589
Case Number EO-2020276-000279
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ROCK FAMILY LIFE CENTER INC
Organization’s Mailing Address 3903 KALISPELL LANE
City CHARLOTTE
State NC
ZIP 28269
Accounting period End 12
Primary contact name FRANK JACOBS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

FRANK JACOBS
PRESIDENT-CEO
2410 LEXINGTON APPROACH
CHARLOTTE NC 28262

Officer/Director/Trustee Two

KIMBERLY JACOBS
VICE PRESIDENT
2420 LEXINGTON APPROACH
CHARLOTTE NC 28262

Officer/Director/Trustee Three

LEWIS I JACOBS
BOARD MEMBER
3903 KALISPELL LANE
CHARLOOTE NC 28269

Officer/Director/Trustee Four

ROBERTA JONES
BOARD MEMBER
30799 PINETREE ROAD
CLEVELAND OH 44124

Officer/Director/Trustee Five

MARY JONES
BOARD MEMBER
24709 EMERY ROAD
CLEVELAND OH 44128

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/23/2010
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A23 - Cultural, Ethnic Awareness
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 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 FRANK JACOBS
Signature Title PRESIDENT-CEO
Signature Date 9/30/2020

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