FORM 1023-EZ for PHASE ONE RECOVERY FOR WOMEN

Field Data
EIN 27-4368724
Case Number EO-2016160-000269
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PHASE ONE RECOVERY FOR WOMEN
Organization’s Mailing Address 1846 TAYLOR ROAD
City EAST CLEVELAND
State OH
ZIP 44118
Accounting period End 11
Primary contact name ROSALINE LYONS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ROSALINE LYONS
PRESIDENT
6300 LINWOOD AVE
CLEVELAND OH 44103

Officer/Director/Trustee Two

LITHO RANGE
VICE PRESIDENT
6300 LINWOOD AVE
CLEVELAND OH 44103

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/31/2015
Organization Incorporation State OH
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 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 Yes
One Third Support Public No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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