FORM 1023-EZ for RESTORE REBUILD RENEW INC

Field Data
EIN 87-2439098
Case Number EO-2021253-000385
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name RESTORE REBUILD RENEW INC
Organization’s Mailing Address 936 N 87TH PLACE
City SCOTTSDALE
State AZ
ZIP 85257
Accounting period End 12
Primary contact name LUIS VELEZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LUIS VELEZ
FOUNDER
936 N 87TH PLACE
SCOTTSDALE AZ 85257

Officer/Director/Trustee Two

JACKELIN VELEZ
DIRECTOR
936 N 87TH PLACE
SCOTTSDALE AZ 85257

Officer/Director/Trustee Three

FIDELINA CHAVEZ
DIRECTOR
14700 ATLANTIC AVE B
COMPTON CA 90221

Officer/Director/Trustee Four

CHAVON TOWNSEL
DIRECTOR
1710 W HIDDENVIEW DR
PHOENIX AZ 85045

Officer/Director/Trustee Five

LAKIESHA TOWNSEL
DIRECTOR
1710 W HIDDENVIEW DR
PHOENIX AZ 85045

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/8/2021
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F20 - Alcohol, Drug and Substance Abuse, Dependency Prevention and Treatment
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 LUIS VELEZ
Signature Title FOUNDER
Signature Date 9/9/2021

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