FORM 1023-EZ for R R REHABILITATIVE SERVICES

Field Data
EIN 82-2130014
Case Number EO-2017223-000154
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name R R REHABILITATIVE SERVICES
Organization’s Mailing Address 2818 OLIVIA CT
City BRYANT
State AR
ZIP 72022
Accounting period End 7
Primary contact name RONNIE MARTIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RONNIE MARTIN
CHIEF EXECUTIVE OFFICER
2818 OLIVIA CT
BRYANT AR 72022

Officer/Director/Trustee Two

ROSILY SANDERS
CHIEF OPERATING OFFICER
5013 RIXEY RD
NORTH LITTLE ROCK AR 72117

Officer/Director/Trustee Three

DARUIS BONDS
CHIEF FINANCIAL OFFICER
3900 WEST ST
LITTLE ROCK AR 72204

Officer/Director/Trustee Four

LUCRESHIA DOAKS
BROAD PRESIDENT
21 C EAST LARAMIE
SHERWOOD AR 72120

Officer/Director/Trustee Five

RODERICK PRIDE
BROAD MEMBER
2 CHURCHILL DRIVE
MABELVALE AR 72206

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/12/2017
Organization Incorporation State AR
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: No
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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