FORM 1023-EZ for RECOVERY WORX FOUNDATION INC

Field Data
EIN 82-5419826
Case Number EO-2018296-000371
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name RECOVERY WORX FOUNDATION INC
Organization’s Mailing Address 4856 LAKE AVE
City BLASDELL
State NY
ZIP 14219
Accounting period End 12
Primary contact name MARIE ROCK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARIE ROCK
EXECUTIVE DIRECTOR
4856 LAKE AVE
BLASDELL NY 14219

Officer/Director/Trustee Two

LINDA GOLDEN
PRESIDENT
52 SUNRISE DRIVE
BLASDELL NY 14219

Officer/Director/Trustee Three

ROBERT SPENCER
VICE PRESIDENT
30 STEPHENSON AVE
WEST SENECA NY 14224

Officer/Director/Trustee Four

EILEEN LAROUECH
SECRETARY/TREASURER
75 NORTH WILLOW STREET
EAST AURORA NY 14052

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/4/18
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: No
Educational: Yes
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 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 MARIE ROCK
Signature Title EXECUTIVE DIRECTOR
Signature Date 10/21/18

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