FORM 1023-EZ for RESTORE

Field Data
EIN 82-2353844
Case Number EO-2017223-000185
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name RESTORE
Organization’s Mailing Address 2500 KING LOUIS DRIVE
City JACKSONVILLE
State FL
ZIP 32254
Accounting period End 1
Primary contact name REBECCA SMITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

REBECCA SMITH
PRESIDENT
2500 KING LOUIS DRIVE
JACKSONVILLE FL 32254

Officer/Director/Trustee Two

TAMMY HODO
VICE-PRESIDENT
2500 KING LOUISE DRIVE
JACKSONVILLE FL 32254

Officer/Director/Trustee Three

JP MILLS
CFO
2500 KING LOUISE DRIVE
JACKSONVILLE FL 32254

Officer/Director/Trustee Four

TRACY HAY
SECRETARY
2500 KING LOUISE DRIVE
JACKSONVILLE FL 32254

Officer/Director/Trustee Five

AMY DECKER
DIRECTOR
2500 KING LOUISE DRIVE
JACKSONVILLE FL 32254

Organization’s website
Organization’s email RSMITHJ747@AOL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/31/2017
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I40 - Rehabilitation Services for 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 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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