FORM 1023-EZ for RAPHA REINS INC

Field Data
EIN 81-1192802
Case Number EO-2016273-000335
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name RAPHA REINS INC
Organization’s Mailing Address 2205 BITTERSWEET ROAD
City MARSHALLTOWN
State IA
ZIP 50158
Accounting period End 12
Primary contact name JENNIFER DANIEL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEAN HICKSON
DIRECTOR
217 W FERNER ST
MARSHALLTOWN IA 50158

Officer/Director/Trustee Two

JACQUE MORKIN
DIRECTOR
218 W MEADOW LANE
MARSHALLTOWN IA 50158

Officer/Director/Trustee Three

CARLOS PORTES
DIRECTOR
2009 W MAIN ST
MARSHALLTOWN IA 50158

Officer/Director/Trustee Four

JENNIFER DANIEL
DIRECTOR
2205 BITTERSWEET ROAD
MARSHALLTOWN IA 50158

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/8/2016
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F30 - Mental Health Treatment - Multipurpose and N.E.C.
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
Signature Title
Signature Date

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