FORM 1023-EZ for RESTORE ORPHAN FUND INC

Field Data
EIN 83-0962364
Case Number EO-2018284-000204
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name RESTORE ORPHAN FUND INC
Organization’s Mailing Address 1501 S MAIN ST
City PALMYRA
State MO
ZIP 63461-1935
Accounting period End 6
Primary contact name ELIZABETH BAILES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HANNAH GOTTMAN
SECRETARY
1501 S MAIN ST
PALMYRA MO 63461-1935

Officer/Director/Trustee Two

ELIZABETH BAILES
PRESIDENT
575 W MOON VALLEY DR
PHOENIX AZ 85023-6230

Officer/Director/Trustee Three

ANN BABCOCK
VICE-PRESIDENT
4899 MONTROSE BLVD APT 802
HOUSTON TX 77006-6166

Officer/Director/Trustee Five

SUE SMIT
TREASURER
1528 E SHARON DR
PHOENIX AZ 85022-4956

Organization’s website
Organization’s email INFO@RESTOREORPHANFUND.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/13/18
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ELIZABETH BAILES
Signature Title PRESIDENT
Signature Date 10/9/18

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