FORM 1023-EZ for JUANITAS RESTORATION CENTER INC

Field Data
EIN 41-2249508
Case Number EO-2019150-000184
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JUANITAS RESTORATION CENTER INC
Organization’s Mailing Address 832 E 17TH STREET
City WILMINGTON
State DE
ZIP 19802
Accounting period End 12
Primary contact name DESHERYL BROADWATER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JACQUELYN NEWMAN
PRESIDENT
203 N OGLE AVENUE
WILMINGTON DE 19805

Officer/Director/Trustee Two

KEITH CAMPBELL
VICE PRESIDENT
2700 E SPEAKMAN PLACE
WILMINGTON DE 19802

Officer/Director/Trustee Three

LATANYA MILLER
TREASURER
204 REGINA COURT
WILMINGTON DE 19702

Officer/Director/Trustee Four

CAROL GARDNER
SECRETARY
19 KARISTAD ROAD
NEW CASTLE DE 19720

Officer/Director/Trustee Five

DESHERYL BROADWATER
DIRECTOR
832 E 17TH STREET
WILMINGTON DE 19802

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/20/15
Organization Incorporation State DE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P85 - Homeless Persons Centers, Services
Organization’s purpose Charitable: Yes
Religious: Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DESHERYL BROADWATER
Signature Title DIRECTOR
Signature Date 5/27/19

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