FORM 1023-EZ for RESTORATION ROCHESTER INC

Field Data
EIN 84-2992003
Case Number EO-2020057-000352
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name RESTORATION ROCHESTER INC
Organization’s Mailing Address 112 W SPRUCE ST
City EAST ROCHESTER
State NY
ZIP 14445
Accounting period End 12
Primary contact name LEAH M KAZMIERSKI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LEAH KAZMIERSKI
CEO
112 W SPRUCE ST
EAST ROCHESTER NY 14445

Officer/Director/Trustee Two

ANNETTE VEREEN
VICE PRESIDENT
10 MANHATTAN SQUARE DR APT 6X
ROCHESTER NY 14607

Officer/Director/Trustee Three

KATHLEEN HARRIS
SECRETARY
91 GORSLINE ST
ROCHESTER NY 14613

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/6/2019
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 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 LEAH KAZMIERSKI
Signature Title CEO
Signature Date 2/24/2020

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