FORM 1023-EZ for RESPITE FOR RESIDENTS
| Field | Data |
|---|---|
| EIN | 85-0592797 |
| Case Number | EO-2021063-000931 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | RESPITE FOR RESIDENTS |
| Organization’s Mailing Address | 1715 DANBY LN |
| City | GRAND RAPIDS |
| State | MI |
| ZIP | 49506 |
| Accounting period End | 12 |
| Primary contact name | NICHOLAS FARR |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
KAYLESH PANDYA
BOARD CHAIR AND EXECUTIVE DIRECTOR
1715 DANBY LN
GRAND RAPIDS MI 49506
Officer/Director/Trustee Two
ROWAN HARTIN
DIRECTOR
1715 DANBY LN
GRAND RAPIDS MI 49506
Officer/Director/Trustee Three
CONSTANCE KATSAFANAS
CLERK
1715 DANBY LN
GRAND RAPIDS MI 49506
Officer/Director/Trustee Four
TONY HO
DIRECTOR
1715 DANBY LN
GRAND RAPIDS MI 49506
Officer/Director/Trustee Five
NICHOLAS FARR
TREASURER
1715 DANBY LN
GRAND RAPIDS MI 49506
| Organization’s website | respiteforresidents.org |
|---|---|
| Organization’s email | info@respiteforresidents.org |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 4/30/2020 |
| Organization Incorporation State | NV |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E01 - Alliance/Advocacy Organizations |
| Organization’s purpose | Charitable: Yes Religious: No Educational: No Scientific: Yes 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 | Yes |
| 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 | NICHOLAS FARR |
| Signature Title | TREASURER |
| Signature Date | 12/31/2020 |
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