FORM 1023-EZ for RESTORATION MOVEMENT

Field Data
EIN 47-3769163
Case Number EO-2015114-000305
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name RESTORATION MOVEMENT
Organization’s Mailing Address 12728 ELLEN DRIVE
City GENOA
State IL
ZIP 60135
Accounting period End 12
Primary contact name WADE BUZZARD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

WADE BUZZARD
PRESIDENT
12728 Ellen Drive
GENOA IL 60135

Officer/Director/Trustee Two

MIKE ZIBRUN
VICE PRESIDENT
1907 SOMONAUK STREET
SYCAMORE IL 60178

Officer/Director/Trustee Three

ROSE EHORN
SECRETARY/TREASURER
214 STILES STREET
GENOA IL 60135

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/17/2015
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: Yes
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 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 Yes
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
Signature Title
Signature Date

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