FORM 1023-EZ for PLACE OF REST INC

Field Data
EIN 85-0495513
Case Number EO-2021123-000453
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PLACE OF REST INC
Organization’s Mailing Address 1613 EASTERN PARKWAY 2D
City BROOKLYN
State NY
ZIP 11233
Accounting period End 12
Primary contact name CHERYL E STRAIT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHERYL E STRAIT
PRESIDENT
1613 EASTERN PARKWAY 2D
BROOKLYN NY 11233

Officer/Director/Trustee Two

ROSE MARIE WILLIAMS
TREASURER
207-01 94TH AVE
QUEENS VILLAGE NY 11428

Officer/Director/Trustee Three

ASHER COCKBURN
SECRETARY
8810 178TH STREET APT 6M
JAMAICA NY 11432

Officer/Director/Trustee Four

CHERYL R STRAIT
BOARD MEMBER
4500 HARD SCRABBLE RD APT 736
COLUMBIA SC 29229

Officer/Director/Trustee Five

LANCE ROBINSON
BOARD MEMBER
110-02 73RD ST
JAMAICA NY 11433

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/16/2021
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L41 - Homeless, Temporary Shelter For
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 Yes
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 CHERYL E STRAIT
Signature Title PRESIDENT
Signature Date 4/30/2021

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