FORM 1023-EZ for REIKI OUTREACH SERVICES FOR ELDERSINC

Field Data
EIN 47-5193634
Case Number EO-2016004-000364
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name REIKI OUTREACH SERVICES FOR ELDERSINC
Organization’s Mailing Address 10640 MAIN STREET SUITE 200
City FAIRFAX
State VA
ZIP 22030-3930
Accounting period End 12
Primary contact name EVAN H FARR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

EVAN FARR
DIRECTOR
10640 MAIN STREET SUITE 200
FAIRFAX VA 22030-3930

Officer/Director/Trustee Two

GINA MAYBURY
DIRECTOR
8996 BURKE LAKE RD SUITE 303
BURKE VA 22015-1607

Officer/Director/Trustee Three

ALICE JONES
DIRECTOR
10010 ROUGH RUN CT
FAIRFAX STATION VA 22039-2959

Organization’s website HTTP://WWW.REIKI4ELDERS.ORG
Organization’s email REIKI4ELDERS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/30/2012
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E60 - Health Support Services
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 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
Signature Title
Signature Date

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