FORM 1023-EZ for RESTORATION HOUSE WNC

Field Data
EIN 47-4539555
Case Number EO-2015208-000248
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name RESTORATION HOUSE WNC
Organization’s Mailing Address PO BOX 817
City BRYSON CITY
State NC
ZIP 28713-7991
Accounting period End 12
Primary contact name CATHERINE CUTHBERTSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CATHERINE CUTHBERTSON
PRESIDENT
222 GRAHAM ST
BRYSON CITY NC 28713-7991

Officer/Director/Trustee Two

LISA WEEKS
TREASURER
623 SITTON CREEK
BRYSON CITY NC 28713-7991

Officer/Director/Trustee Three

WAYNE DICKERT
VICE PRESIDENT
251 WEST RIDGE DRIVE
BRYSON CITY NC 28713-7991

Officer/Director/Trustee Four

CHRIS ROTH
SECRETARY
4575 FONTANA LAKE DRIVE
BRYSON CITY NC 28713-7991

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/14/2015
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E60 - Health Support Services
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
Signature Title
Signature Date

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