FORM 1023-EZ for RECOVERY HOUSE INC

Field Data
EIN 83-2704373
Case Number EO-2019070-000411
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name RECOVERY HOUSE INC
Organization’s Mailing Address 332 S CROSBY AVE
City JANESVILLE
State WI
ZIP 53548
Accounting period End 1
Primary contact name JOHN HESSER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TIM GENSLER
CHAIRMAN
3603 NORTH COUNTY ROAD E
JANESVILLE WI 53548

Officer/Director/Trustee Two

JOHN GLICK
SECRETARY
8927 NORTH COUNTY ROAD H
EDGERTON WI 53534

Officer/Director/Trustee Three

JOHN HESSER
TREASURER
2400 LINDEN AVE
JANESVILLE WI 53548

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/30/18
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F21 - Alcohol, Drug Abuse, Prevention Only
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JOHN HESSER
Signature Title TREASURER
Signature Date 3/9/19

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