FORM 1023-EZ for RENEWAL SOBER LIVING INC

Field Data
EIN 84-2979944
Case Number EO-2019266-000280
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name RENEWAL SOBER LIVING INC
Organization’s Mailing Address 40 MASON STREET
City WORCESTER
State MA
ZIP 1609
Accounting period End 12
Primary contact name MARCIA AMARSINGH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARCIA AMARSINGH
PRESIDENT
23 WAYNE STREET
WORCESTER MA 1603

Officer/Director/Trustee Two

SONYA ATHERLEY
VICE PRESIDENT
36 WAYNE STREET
WORCESTER MA 10603

Officer/Director/Trustee Three

JULIOUS LWOMWA
CLERK
65 WAUSHAKUM ST
FRAMINGHAM MA 1702

Officer/Director/Trustee Four

WANDA MARTINEZ
TREASURE
42 DEEFIELD STREET 1
WORCESTER MA 1602

Officer/Director/Trustee Five

MARCIA AMARSINGH
EXECUTIVE DIRECTOR
23 WAYNE STREET
WORCESTER MA 1603

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/16/19
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F20 - Alcohol, Drug and Substance Abuse, Dependency Prevention and Treatment
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 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 MARCIA AMARSINGH
Signature Title EXECUTIVE DIRECTOR
Signature Date 9/19/19

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