FORM 1023-EZ for RESTORE SIGHT LLC

Field Data
EIN 46-5745727
Case Number EO-2015016-000020
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name RESTORE SIGHT LLC
Organization’s Mailing Address 2745 ANDERSON FERRY ROAD SUITE 3
City CINCINNATI
State OH
ZIP 45238
Accounting period End 12
Primary contact name ROBERT E MCRAE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MICHAEL SIFRI
PRESIDENT
2745 ANDERSON FERRY RD SUITE 3
CINCINNATI OH 45238

Officer/Director/Trustee Two

LAUREN KULEY
SECRETARY
2745 ANDERSON FERRY RD SUITE 3
CINCINNATI OH 45238

Officer/Director/Trustee Three

ROBERT MCRAE
TREASURER
19313 SHORELAND AVENUE
ROCKY RIVER OH 44116

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/1/2014
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E32 - Ambulatory Health Center, Community Clinic
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 Yes
Conducting Activities Outside of United States Yes
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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