FORM 1023-EZ for REGENERATE TECH CORP

Field Data
EIN 82-3859901
Case Number EO-2018106-000472
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name REGENERATE TECH CORP
Organization’s Mailing Address 1635 NW 81 WAY
City PLANTATION
State FL
ZIP 33322-5477
Accounting period End 12
Primary contact name RANDALL DEICH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RANDALL DEICH
PRESIDENT
1635 NW 81 WAY
PLANTATION FL 33322-5477

Officer/Director/Trustee Two

ROBERT SEPLIN
VICE PRESIDENT
11031 SEA HIBISCUS LANE
TAMARAC FL 33321-9212

Officer/Director/Trustee Three

KEVIN WILLIAMS
VICE PRESIDENT
1293 NORTH UNIVERSITY DRIVE
CORAL SPRIGS FL 33071-8315

Officer/Director/Trustee Four

RYAN REARDON
TREASURER
10466 NW 2 STREET
CORAL SPRINGS FL 33071-7335

Officer/Director/Trustee Five

TANYA MARTIN
SECRETARY
2020 SW 12 AVE
FORT LAUDERDALE FL 33315-2430

Organization’s website REGENERATETECH.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/2/18
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code J20 - Employment Procurement Assistance, Job Training
Organization’s purpose Charitable: No
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name RANDALL DEICH
Signature Title PRESIDENT
Signature Date 4/11/18

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