FORM 1023-EZ for RESTAURANT RECOVERY INC

Field Data
EIN 80-0815170
Case Number EO-2015355-000225
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name RESTAURANT RECOVERY INC
Organization’s Mailing Address 1430 MARYLAND AVENUE NE
City WASHINGTON
State DC
ZIP 20002-5035
Accounting period End 12
Primary contact name SCOTT MAGNUSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SCOTT MAGNUSON
PRESIDENT, DIRECTOR
1220 LINDEN PLACE NE
WASHINGTON DC 20002

Officer/Director/Trustee Two

SHAAREN PINE
VICE PRESIDENT, DIRECTOR
1220 LINDEN PLACE NE
WASHINGTON DC 20002

Officer/Director/Trustee Three

DAVE DOMZALSKI
DIRECTOR
2500 N VAN DORN STREET
ALEXANDRIA VA 22302

Officer/Director/Trustee Four

JENNIFER DORSEY
DIRECTOR
7914 WEST PARK
HYATTSVILLE ME 20783

Officer/Director/Trustee Five

ROBERT LANGWORTHY
DIRECTOR
8 OLD FARM ROAD
TOPSHAM ME 04086

Organization’s website
Organization’s email BOB_LANGWORTHY@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/11/2012
Organization Incorporation State DC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Z99 - Unclassified
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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