FORM 1023-EZ for THE RESTORATION HEM PROJECT INC

Field Data
EIN 81-2778478
Case Number EO-2016155-000224
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE RESTORATION HEM PROJECT INC
Organization’s Mailing Address 16213 BRIDGEPARK DR
City LITHIA
State FL
ZIP 33547
Accounting period End 12
Primary contact name JENNIFER KAISER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JENNIFER KAISER
PRESIDENT
121 PINE LAKES PARKWAY N APT 514
PALM COAST FL 32137

Officer/Director/Trustee Two

MICHAEL KAISER
TREASURER
16213 BRIDGEPARK DRIVE
LITHIA FL 33547

Officer/Director/Trustee Three

TAKAWIRA SITHOLE
SECRETARY
121 PINE LAKES PARKWAY N APT 514
PALM COAST FL 32137

Officer/Director/Trustee Four

SHERRY KNOX
BOARD MEMBER
9402 BROWNSTON ROAD
HENRYVILLE IN 47126

Officer/Director/Trustee Five

KATHERINE ALLEN
BOARD MEMBER
641 NORTH AVE NE APT 1318
ATLANTA GA 30308

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/13/2016
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other 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 Yes
Donation of funds Yes
Conducting Activities Outside of United States Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance Yes
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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