FORM 1023-EZ for REST CONNECTION

Field Data
EIN 86-1183027
Case Number EO-2021097-001394
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name REST CONNECTION
Organization’s Mailing Address 1813 OLD BETHLEHEM PIKE
City SELLERSVILLE
State PA
ZIP 18960
Accounting period End 12
Primary contact name VICKIE LANDIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

VICKIE LANDIS
PRESIDENT AND BOARD MEMBER
1813 OLD BETHLEHEM PIKE
SELLERSVILLE PA 18960

Officer/Director/Trustee Two

ADAM LHEDMAT
BOARD MEMBER
2509 CLIFFBOURNE PLACE APT 3
WASHINGTON DC 20009

Officer/Director/Trustee Three

SUZANNE MERCER
BOARD MEMBER
10 WEIDMANSVILLE ROAD APT B
EPHRATA PA 17522

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/2021
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I71 - Spouse Abuse, Prevention of
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 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 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 VICKIE LANDIS
Signature Title PRESIDENT AND BOARD MEMBER
Signature Date 3/16/2021

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