FORM 1023-EZ for RESTORING HEARTS INC

Field Data
EIN 83-2638880
Case Number EO-2018344-000533
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name RESTORING HEARTS INC
Organization’s Mailing Address PO BOX 521196
City BIG LAKE
State AK
ZIP 99652
Accounting period End 12
Primary contact name LINDA STAUB
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LINDA STAUB
PRESIDENT/ TREASURE
PO BOX 521196
BIG LAKE AK 99652-1196

Officer/Director/Trustee Two

BRIAN STAUB
SECRETARY
PO BOX 521196
BIG LAKE AK 99652-1196

Officer/Director/Trustee Three

LYNN NORRIS
VICE PRESIDENT
5095 N BLUE ASH AVE
BOISE ID 83713-2053

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/4/18
Organization Incorporation State AK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F30 - Mental Health Treatment - Multipurpose and N.E.C.
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 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 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 LINDA STAUB
Signature Title PRESIDENT/ TREASURE
Signature Date 12/8/18

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