FORM 1023-EZ for REFRESH SHOWER MINISTRY

Field Data
EIN 85-1533920
Case Number EO-2020188-000596
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name REFRESH SHOWER MINISTRY
Organization’s Mailing Address 19709 MILLSTONE CROSSING DRIVE
City EDMOND
State OK
ZIP 73012-1281
Accounting period End 12
Primary contact name NICHOLAS ALAN CARRIER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOSE MARTINEZ PADRON
DIRECTOR/PRESIDENT
19512 TAGGERT DR
EDMOND OK 73012-4502

Officer/Director/Trustee Two

JEREMIAH JACKSON
DIRECTOR/SECRETARY
15453 SWALLOW TRAIL RD
EDMOND OK 73013-1139

Officer/Director/Trustee Three

RYAN BLAIR-SMITH
DIRECTOR/TREASURER
19624 STRATMORE WAY
EDMOND OK 73012-2205

Officer/Director/Trustee Four

NICHOLAS CARRIER
EXECUTIVE DIRECTOR
19709 MILLSTONE CROSSING DRIVE
EDMOND OK 73012-1281

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/20/2020
Organization Incorporation State OK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P85 - Homeless Persons Centers, Services
Organization’s purpose Charitable: Yes
Religious: Yes
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 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 NICHOLAS CARRIER
Signature Title EXECUTIVE DIRECTOR
Signature Date 7/2/2020

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