FORM 1023-EZ for THE REBUILD TOGETHER INITIATIVE INC

Field Data
EIN 86-1882378
Case Number EO-2021089-000817
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE REBUILD TOGETHER INITIATIVE INC
Organization’s Mailing Address 32 MARBLE HILL AVENUE
City BRONX
State NY
ZIP 10463
Accounting period End 6
Primary contact name ANDREW LASSALLE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AUSTIN SMITH
DIRECTOR
30 BRADHURST AVENUE
NEW YORK NY 10030

Officer/Director/Trustee Two

PEDRO VEGA JR
DIRECTOR
1505 ARCHER ROAD APT 5D
BRONX NY 10462

Officer/Director/Trustee Three

CHAYNE POLIUS
DIRECTOR
12613 SEATTLE SLEW DRIVE APT 2126
HOUSTON NY 77065

Organization’s website
Organization’s email ANDREW@RTINITIATIVE.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/2/2021
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S01 - Alliance/Advocacy Organizations
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 AUSTIN SMITH
Signature Title DIRECTOR
Signature Date 2/12/2021

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