FORM 1023-EZ for REPAIRATION NATION

Field Data
EIN 85-1820650
Case Number EO-2020254-000075
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name REPAIRATION NATION
Organization’s Mailing Address 1784 EAST THIRD STREET SUITE 240
City WILLIAMSPORT
State PA
ZIP 17701-3862
Accounting period End 12
Primary contact name SHERRY BENDER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHERRY BENDER
DIRECTOR
1034 N LOYALSOCK AVE
MONTOURSVILLE PA 17754-1074

Officer/Director/Trustee Two

RONALD LASSITER II
DIRECTOR
1034 N LOYALSOCK AVE
MONTOURSVILLE PA 17754-1074

Officer/Director/Trustee Three

BLAIR MATTOCKS
DIRECTOR
331 HILLSIDE DRIVE
WILLIAMSPORT PA 17702

Organization’s website REPAIRATIONNATION.ORG
Organization’s email BENDERSL@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/14/2020
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code R20 - Civil Rights, Advocacy for Specific Groups
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 Yes
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name SHERRY BENDER
Signature Title DIRECTOR
Signature Date 9/8/2020

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