FORM 1023-EZ for MIRACLE HEALTH RESTORATION INC

Field Data
EIN 83-3892365
Case Number EO-2019080-000505
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MIRACLE HEALTH RESTORATION INC
Organization’s Mailing Address 325 BADEN PL
City STATEN ISLAND
State NY
ZIP 10306
Accounting period End 12
Primary contact name LAUREEN FERRANTE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LAUREEN FERRANTE
PRESIDENT
325 BADEN PL
STATEN ISLAND NY 10306

Officer/Director/Trustee Two

FRANK FERRANTE
VICE PRES
866 NUGENT AVE
STATEN ISLAND NY 10306

Officer/Director/Trustee Three

MICHAEL FERRANTE-MAZZILLI
VICE PRES
215 ST JOHNS AVE
STATEN ISLAND NY 10305

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/11/19
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name LAUREEN FERRANTE
Signature Title PRESIDENT
Signature Date 3/19/19

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