FORM 1023-EZ for THE RELATIONSHIP REPAIR AND CARE CLINIC INC

Field Data
EIN 45-3090548
Case Number EO-2015246-000296
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE RELATIONSHIP REPAIR AND CARE CLINIC INC
Organization’s Mailing Address 1755 HUNTINGTON DRIVE
City DUARTE
State CA
ZIP 91010
Accounting period End 7
Primary contact name MICHELLE THOMAS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ANTHONY LLOYD
PRESIDENT
1755 HUNTINGTON DRIVE
DUARTE CA 91010

Officer/Director/Trustee Two

DARREN BUTLER
TREASURER
1755 HUNTINGTON DRIVE
DUARTE CA 91010

Officer/Director/Trustee Three

DARREN BUTLER
SECRETARY
1755 HUNTINGTON DRIVE
DUARTE CA 91010

Organization’s website REPAIRANDCARE.ORG
Organization’s email INFO@REPAIRANDCARE.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/8/2011
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F60 - Counseling, Support Groups
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 No
One Third Support Public No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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