FORM 1023-EZ for RACHELS EXPERIENCE INC

Field Data
EIN 82-0921156
Case Number EO-2017103-000368
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name RACHELS EXPERIENCE INC
Organization’s Mailing Address 4621 TONAWANDACREEK RD
City EAST AMHERST
State NY
ZIP 14051
Accounting period End 12
Primary contact name RACHEL MCCARLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RACHEL BUNCH MCCARLEY
OWNER DIRECTOR
4621 TONAWANDACREEK RD
EAST AMHERST NY 14051

Officer/Director/Trustee Two

RUTH CRUZ
SPIRITUAL COORDINATOR
85 NIAGARAFALLS BLVD
BUFFALO NY 14208

Officer/Director/Trustee Three

TERESA TURPIN
COORDINATOR
404 MADISON STREET
BUFFALO NY 14212

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/9/2016
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion Services)
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
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 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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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