FORM 1023-EZ for ROCKSTAR RECOVERY FOUNDATION
| Field | Data |
|---|---|
| EIN | 82-3047096 |
| Case Number | EO-2018072-000252 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | ROCKSTAR RECOVERY FOUNDATION |
| Organization’s Mailing Address | 1431 SYMMES ROAD UNIT B |
| City | FAIRFIELD |
| State | OH |
| ZIP | 45014 |
| Accounting period End | 12 |
| Primary contact name | CHRISTOPHER SKINNER |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
CHRISTOPHER SKINNER
CEO
1431 SYMMES ROAD UNIT B
FAIRFIELD OH 45014
Officer/Director/Trustee Two
DEBORAH SMITH
CFO
120 BENCHWAY COURT
FAIRFIELD OH 45014
Officer/Director/Trustee Three
JESSI SKINNER
OFFICER
812 SOUTHWIND DRIVE
FAIRFIELD OH 45014
Officer/Director/Trustee Four
STEVIE BARRETT
OFFICER
1507 HAFT DRIVE
REYNOLDSBURG OH 43068
Officer/Director/Trustee Five
TRICHA DAWN
OFFICER
2971 PLEASANT HILL ROAD
MT. ORAB OH 45154
| Organization’s website | ROCSTARRECOVERY.ORG |
|---|---|
| Organization’s email | ROCKSTARRECOVERYF@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 9/25/17 |
| Organization Incorporation State | OH |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | F20 - Alcohol, Drug and Substance Abuse, Dependency Prevention and Treatment |
| 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 | No |
| Correctness Declaration | Yes |
| Signature Name | DEBORAH SMITH |
| Signature Title | CFO |
| Signature Date | 3/11/18 |
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