FORM 1023-EZ for RESTORATION WAY ORG

Field Data
EIN 47-5410915
Case Number EO-2016020-000229
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name RESTORATION WAY ORG
Organization’s Mailing Address 1897 DRY HILL RD
City BUTLER
State TN
ZIP 37640
Accounting period End 7
Primary contact name PETER A MARTINEZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KEYLA R GORDON
ACCOUNTANT
1897 DRY HILL RD
BUTLER TN 37640

Officer/Director/Trustee Two

TAMARA B GORDON
SECRETARY
1897 DRY HILL RD
BUTLER TN 37640

Officer/Director/Trustee Three

PETER A MARTINEZ
DIRECTOR
1897 DRY HILL RD
BUTLER TN 37640

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/30/2015
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - Multipurpose and Other N.E.C.
Organization’s purpose Charitable: No
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 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
Signature Title
Signature Date

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