FORM 1023-EZ for RESTORATIVECHANGYZ INCORPORATION

Field Data
EIN 81-4331343
Case Number EO-2016320-000165
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name RESTORATIVECHANGYZ INCORPORATION
Organization’s Mailing Address 5005 BRENTWOOD STAIR RD SUITE 206
City FORT WORTH
State TX
ZIP 76112
Accounting period End 12
Primary contact name NAMISHA JOHNSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NAMISHA JOHNSON
DIRECTOR
6708 YOLANDA DRIVE
FORT WORTH TX 76112

Officer/Director/Trustee Two

SONYA HULLABY
DIRECTOR
7545 SIERRA RIDGE LANE
FORT WORTH TX 76131

Officer/Director/Trustee Three

MICHAEL COOPER
DIRECTOR
517 FLOWERING PLUM LANE
FORT WORTH TX 76140

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/3/2016
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B30 - Vocational, Technical Schools
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
Signature Title
Signature Date

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