FORM 1023-EZ for KEYSTONE RECOVERY SOLUTIONS

Field Data
EIN 83-0535789
Case Number EO-2018140-000096
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KEYSTONE RECOVERY SOLUTIONS
Organization’s Mailing Address 67 CONNELLSVILLE ST
City UNIONTOWN
State PA
ZIP 15401
Accounting period End 12
Primary contact name BRANT COPPLE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRANT COPPLE
PRESIDENT
3113 GOLDEN VIEW LN
ORLANDO FL 32812

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/15/18
Organization Incorporation State PA
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: 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 Yes
Unrelated Gross Income $1,000 or More Yes
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 BRANT COPPLE
Signature Title PRESIDENT
Signature Date 5/15/18

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