FORM 1023-EZ for RDL HOME FACILITY

Field Data
EIN 84-2049541
Case Number EO-2019164-000258
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name RDL HOME FACILITY
Organization’s Mailing Address 1432 CATALPA DRIVE
City DAYTON
State OH
ZIP 45406
Accounting period End 12
Primary contact name TABITHA CARTWRIGHT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LEROY MCBAY
PRESIDENT
1215 WEDGEWOOD DR
FORNEY TX 75126

Officer/Director/Trustee Two

CORNELL HAYMER
VICE PRESIDENT
4900 PACES TRAIL APT 1015
ARLINGTON TX 76017

Officer/Director/Trustee Three

CANDICE JENKINS
TREASURER
120 W CITYLINE DR
RICHARDSON TX 75082

Officer/Director/Trustee Four

KYM WHITE
SECRETARY
206 BAYONNE DR
MANSFIELD TX 76063

Officer/Director/Trustee Five

TABITHA CARTWRIGHT
EXECUTIVE DIRECTOR
1432 CATALPA DRIVE
DAYTON OH 45406

Organization’s website N/A
Organization’s email RDLHOMEFACILITY@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/5/19
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F33 - Group Home, Residential Treatment Facility - Mental Health Related
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 Yes
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 TABITHA CARTWRIGHT
Signature Title EXECUTIVE DIRECTOR
Signature Date 6/11/19

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