FORM 1023-EZ for FAMILY LIFE REBOOT

Field Data
EIN 85-0535093
Case Number EO-2021063-000883
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FAMILY LIFE REBOOT
Organization’s Mailing Address 3602 STEEPLE CHASE LANE NE
City CLEVELAND
State TN
ZIP 37323
Accounting period End 12
Primary contact name MICHAEL ITSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL ITSON
FOUNDER/PRESIDENT
3602 STEEPLE CHASE LANE NE
CLEVELAND TN 37323

Officer/Director/Trustee Two

APRIL ITSON
CO-FOUNDER/CFO
3602 STEEPLE CHASE LANE NE
CLEVELAND TN 37323

Officer/Director/Trustee Three

LYDIA WILLIAMS-SLIMAN
OFFICER
8124 BLUEGILL CIRCLE
OOLTEWAH TN 37363

Officer/Director/Trustee Four

LORI MCNELLY
OFFICER
63 SOUTH BRENT DRIVE
RINGGOLD GA 30736

Officer/Director/Trustee Five

DANA HARDING
OFFICER
6715 BIG RIDGE ROAD
HIXSON TN 37343

Organization’s website WWW.FAMILYLIFEREBOOT.COM
Organization’s email MICHAEL@FAMILYLIFEREBOOT.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/27/2020
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: Yes
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 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 No
Correctness Declaration Yes
Signature Name MICHAEL ITSON
Signature Title FOUNDER/PRESIDENT
Signature Date 12/31/2020

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