FORM 1023-EZ for REHAB REINS

Field Data
EIN 84-2898379
Case Number EO-2019256-000140
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name REHAB REINS
Organization’s Mailing Address 8856 PEER ROAD
City SOUTH LYON
State MI
ZIP 48178-8401
Accounting period End 12
Primary contact name RACHEL M WILLS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RACHEL WILLS
PRESIDENT, OCCUPATIONAL THERAPIST
13112 CHAPMAN BLVD
SOUTH LYON MI 48178-8401

Officer/Director/Trustee Two

ERIC WILLS
DIRECTOR
13112 CHAPMAN BOULEVARD
SOUTH LYON MI 48178-8401

Officer/Director/Trustee Three

DAVID HENNING
DIRECTOR
3705 SUMPTER WAY
CARMEL IN 46032

Officer/Director/Trustee Four

DAVID ROHLFS
DIRECTOR
9019 VAN DUSEN CT
SOUTH LYON MI 48178-8401

Organization’s website REHABREINS.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/30/19
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E50 - Rehabilitative Medical Services
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 Yes
Donation of funds Yes
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 RACHEL WILLS
Signature Title PRESIDENT, OCCUPATIONAL THERAPIST
Signature Date 9/9/19

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