FORM 1023-EZ for REHOME INC

Field Data
EIN 82-2609093
Case Number EO-2019318-000202
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name REHOME INC
Organization’s Mailing Address 104 N MCNEILL STREET
City CARTHAGE
State NC
ZIP 28327
Accounting period End 12
Primary contact name TANYA BOLES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TANYA BOLES
PRESIDENT
104
CARTHAGE NC 28327

Officer/Director/Trustee Two

ANN PICERNO
VICE PRESIDENT
PO BOX 422
CARTHAGE NC 28327

Officer/Director/Trustee Three

REBECCA SANDERS
SECRETARY
504 SAUNDERS STREET
CARTHAGE NC 28327

Officer/Director/Trustee Four

ANTONIO PAZ
TREASURER
2270 LONGLEAF DR W
PINEHURST NC 28374

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/2/17
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P80 - Services to Promote the Independence of Specific Populations
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
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 No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity Yes
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 TANYA BOLES
Signature Title PRESIDENT
Signature Date 11/12/19

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