FORM 1023-EZ for RECOVERY REFUGE PEER SUPPORT CENTER

Field Data
EIN 45-3540866
Case Number EO-2015236-000110
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name RECOVERY REFUGE PEER SUPPORT CENTER
Organization’s Mailing Address 322 THIRD AVENUE
City DANVILLE
State VA
ZIP 24540-2706
Accounting period End 12
Primary contact name MIKE ELLYSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MICHAEL ELLYSON
EXECUTIVE DIRECTOR
322 THIRD AVENUE
DANVILLE VA 24540-2706

Officer/Director/Trustee Two

JEFF ROHER
CO-DIRECTOR
24 CAROLYNS LANE
MARTINSVILLE VA 24114-0311

Officer/Director/Trustee Three

TERESA HILL
TREASURER
201 GREEN ACRE DRIVE
DANVILLE VA 24540-5041

Officer/Director/Trustee Four

HELEN MCKENZIE
SECRETARY
34 HYLTON AVENUE
DANVILLE VA 24541-4820

Organization’s website WWW.RECOVERYREFUGE.ORG
Organization’s email PEER2PEER.DANVILLEPACOUNTY@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/11/2015
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 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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