FORM 1023-EZ for RESTORATION HOUSE OF PRAYER PRAISE AND WORSHIP INC

Field Data
EIN 26-3772078
Case Number EO-2018110-000036
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name RESTORATION HOUSE OF PRAYER PRAISE AND WORSHIP INC
Organization’s Mailing Address 6401 SHELBOURNE STREET - APT A
City PHILADELPHIA
State PA
ZIP 19111
Accounting period End 12
Primary contact name MARK BLAKE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARK BLAKE
PRESIDENT
6401 SHELBOURNE STREET - APT A
PHILADELPHIA PA 19111

Officer/Director/Trustee Two

VALERIE BLAKE
TREASURER
6401 SHELBOURNE STREET - APT A
PHILADELPHIA PA 19111

Officer/Director/Trustee Three

RICHARD COBBS
SECRETARY
6401 SHELBOURNE STREET - APT A
PHILADELPHIA PA 19111

Officer/Director/Trustee Four

COLLETTE JACKSON
DIRECTOR
6401 SHELBOURNE STREET - APT A
PHILADELPHIA PA 19111

Officer/Director/Trustee Five

WILLIAM CORNISH
DIRECTOR
6401 SHELBOURNE STREET - APT A
PHILADELPHIA PA 19111

Organization’s website NA
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/12/08
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: Yes
Religious: Yes
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 Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MARK BLAKE
Signature Title PRESIDENT
Signature Date 4/18/18

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