FORM 1023-EZ for RESTORATION TRANSITIONAL SUPPORTIVEHOUSING PROGRAM

Field Data
EIN 84-3920787
Case Number EO-2020013-000114
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name RESTORATION TRANSITIONAL SUPPORTIVEHOUSING PROGRAM
Organization’s Mailing Address 4261 LOCUST STREET
City RIVERSIDE
State CA
ZIP 92501
Accounting period End 12
Primary contact name JOSHUA SQUIRES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOSHUA SQUIRES
DIRECTOR
4261 LOCUST STREET
RIVERSIDE CA 92501

Officer/Director/Trustee Two

KEITH HUMES
DIRECTOR
5724 SW 19TH ST
WEST PARK FL 33023

Officer/Director/Trustee Three

DOLORES SQUIRES
TREASURER
4261 LOCUST STREET
RIVERSIDE CA 92501

Organization’s website WWW.RESTHOUSING.ORG
Organization’s email SQUIRES239@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/30/2019
Organization Incorporation State CA
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: Yes
Scientific: No
Literary: Yes
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 Yes
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 Yes
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 JOSHUA SQUIRES
Signature Title DIRECTOR
Signature Date 1/9/2020

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