FORM 1023-EZ for ROCKLAND RECOVERY HOMES INCORPORATED

Field Data
EIN 82-4551448
Case Number EO-2018064-000235
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ROCKLAND RECOVERY HOMES INCORPORATED
Organization’s Mailing Address 4 TIMMEL LANE
City STONY POINT
State NY
ZIP 10980
Accounting period End 12
Primary contact name STEPHEN CLEMENT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STEPHEN CLEMENT
EXECUTIVE DIRECTOR
4 TIMMEL LANE
STONY POINT NY 10980

Officer/Director/Trustee Two

RUTH BOWLES
CHAIRMAN OF THE BOARD
11 HOMESTEAD VILLAGE DRIVE
WARWICK NY 10990

Officer/Director/Trustee Three

MATTHEW CLEMENT
CHIEF FINANCIAL OFFICER
98 LAKEVIEW DRIVE
TOMKINS COVE NY 10986

Officer/Director/Trustee Four

CAREN SCHWARTZ
CHAIRPERSON
10 INDEPENDANCE COURT
NEW CITY NY 10956

Officer/Director/Trustee Five

KATHLEEN KATT-BENNIE
CHAIRPERSON
32 SCHROEDER LANE
WALDEN NY 12586

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/15/18
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L80 - Housing Support Services -- Other
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 STEPHEN CLEMENT
Signature Title EXECUTIVE DIRECTOR
Signature Date 3/1/18

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