FORM 1023-EZ for REGENERATE INC

Field Data
EIN 82-4950185
Case Number EO-2018341-000339
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name REGENERATE INC
Organization’s Mailing Address 2816 BROAD AVE
City ALTOONA
State PA
ZIP 16601-1714
Accounting period End 12
Primary contact name RACHAEL MILLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CALEB MILLER
PRESIDENT
2816 BROAD AVE
ALTOONA PA 16601-1714

Officer/Director/Trustee Two

RACHAEL MILLER
VICE PRESIDENT & TREASURER
2816 BROAD AVE
ALTOONA PA 16601-1714

Officer/Director/Trustee Three

KATHLEEN SHADE
SECRETARY
2628 MAPLE AVE
ALTOONA PA 16601-1714

Organization’s website REGENERATEWEBSITE.ORG
Organization’s email REGENERATE3000@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/21/18
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: Yes
Religious: Yes
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States Yes
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 RACHAEL MILLER
Signature Title VICE PRESIDENT & TREASURER
Signature Date 12/5/18

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