FORM 1023-EZ for RENALIGN

Field Data
EIN 84-3646774
Case Number EO-2021153-000187
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name RENALIGN
Organization’s Mailing Address 5155 VOLUSIA AVE
City TITUSVILLE
State FL
ZIP 32780
Accounting period End 12
Primary contact name JESSIANNA SAVILLE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JESSIANNA SAVILLE
EXEC DIRECTOR
5155 VOLUSIA AVE
TITUSVILLE FL 32780

Officer/Director/Trustee Two

LINDSEY ZIRKER
CHAIRMAN OF THE BOARD
3063 STONERIDGE CIR
AMMON ID 83406-7533

Officer/Director/Trustee Three

LINDSEY DUFFIN
TRUSTEE
1729 PARLEY ST
IDAHO FALLS ID 83404-6326

Organization’s website RENALIGN.ORG
Organization’s email RENALIGNRD@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/12/2019
Organization Incorporation State UT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G44 - Kidney Disease
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
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 Yes
Financial transactions with officers Yes
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 JESSIANNA SAVILLE
Signature Title EXEC DIRECTOR
Signature Date 5/31/2021

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