FORM 1023-EZ for RESTORATION RECOVERY

Field Data
EIN 86-2310419
Case Number EO-2021102-000401
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name RESTORATION RECOVERY
Organization’s Mailing Address 80 RUTLAND STREET
City DOVER
State NH
ZIP 03820
Accounting period End 12
Primary contact name TRINITY JORDAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NATHAN GAGNE
PRESIDENT
37 KNOWLES DRIVE
BARRINGTON NH 03825

Officer/Director/Trustee Two

MIKE YOUNUS
DIRECTOR
36 KINSALE DRIVE
ROCHESTER NH 03868

Officer/Director/Trustee Three

JIM THAYER
DIRECTOR
22 REMICK ROAD
BRISTOL NH 03222

Officer/Director/Trustee Four

MARILYN TAYLOR
DIRECTOR
56 DURHAM ROAD UNIT 53
DOVER NH 03820

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/24/2021
Organization Incorporation State NH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F20 - Alcohol, Drug and Substance Abuse, Dependency Prevention and Treatment
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 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 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 NATHAN GAGNE
Signature Title PRESIDENT
Signature Date 4/3/2021

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