FORM 1023-EZ for RESTORING HOPE NWA INC

Field Data
EIN 84-3605638
Case Number EO-2019322-000184
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name RESTORING HOPE NWA INC
Organization’s Mailing Address 1218 E NECESSARY RD
City ROGERS
State AR
ZIP 72758
Accounting period End 12
Primary contact name AUSTIN DANIEL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARY HAYNES
PRESIDENT
1218 E NECESSARY RD
ROGERS AR 72758

Officer/Director/Trustee Two

JOSHUA KATZ
TREASURER
2542 N PUMP STATION RD
SPRINGDALE AR 72762

Officer/Director/Trustee Three

AMY STONE
SECRETARY
1105 N MALLARD LN
ROGERS AR 72756

Officer/Director/Trustee Four

FRANCES STEIGER
VICE PRESIDENT
609 ENFIELD RD
BENTONVILLE AR 72712

Officer/Director/Trustee Five

MATTHEW CAMPBELL
DIRECTOR
3105 S 28TH PL APT 12
ROGERS AR 72758

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/29/19
Organization Incorporation State AR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I31 - Transitional Care, Half-Way House for Offenders, Ex-Offenders
Organization’s purpose Charitable: Yes
Religious: No
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 MARY HAYNES
Signature Title PRESIDENT
Signature Date 11/14/19

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