FORM 1023-EZ for RECONSTRUCTIVE SURGERY WOUND CARE

Field Data
EIN 85-4176887
Case Number EO-2021028-000149
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name RECONSTRUCTIVE SURGERY WOUND CARE
Organization’s Mailing Address 1637 CARNEGIE WAY
City EL DORADO HILLS
State CA
ZIP 95762
Accounting period End 12
Primary contact name CHARLES LONGO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHARLES LONGO
PRESDIENT & DIRECTOR
841 ROBIN LANE
SACRAMENTO CA 95864

Officer/Director/Trustee Two

JOSEPH LONGO
DIRECTOR
3300 NORTH 75TH STREET
SCOTTSDALE AZ 85251

Officer/Director/Trustee Three

EMERICK HUBER
DIRECTOR
PO BOX 2
CASPER WY 82602

Officer/Director/Trustee Four

MICHELE GRAY
CFO
2995 COYOTE COURT
IONE CA 95460

Officer/Director/Trustee Five

VERONICA LAYMAN
SECRETARY
2155 STERLING DRIVE
ROCKLIN CA 95765

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/6/2020
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G9B - Surgery
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 Yes
Donation of funds Yes
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 No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name CHARLES LONGO
Signature Title PRESDIENT & DIRECTOR
Signature Date 12/7/2020

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