FORM 1023-EZ for RESTORATIVE TECHNOLOGY REHABILITATION INCORPORATED

Field Data
EIN 83-2988310
Case Number EO-2019031-001002
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name RESTORATIVE TECHNOLOGY REHABILITATION INCORPORATED
Organization’s Mailing Address 310 2ND STREET
City LAKEWOOD
State NJ
ZIP 8701
Accounting period End 12
Primary contact name ELI GASS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRIAN TEREBELO
TRUSTEE
8 E 13TH STREET
LAKEWOOD NJ 8701

Officer/Director/Trustee Two

ELI GASS
TRUSTEE
8 EXECUTIVE DRIVE
TOMS RIVER NJ 8755

Officer/Director/Trustee Three

ETTY TEREBELO
TRUSTEE
8 E 13TH STREET
LAKEWOOD NJ 8701

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/3/19
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E99 - Health - General and Rehabilitative N.E.C.
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 ELI GASS
Signature Title TRUSTEE
Signature Date 1/8/19

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