FORM 1023-EZ for THE REFOCUS CENTER INC
| Field | Data |
|---|---|
| EIN | 81-0791376 |
| Case Number | EO-2016085-000494 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | THE REFOCUS CENTER INC |
| Organization’s Mailing Address | 4032 GAELIC LN UNIT M |
| City | GLEN ALLEN |
| State | VA |
| ZIP | 23060-6433 |
| Accounting period End | 12 |
| Primary contact name | JENNIFER ERICKSON |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
Officer/Director/Trustee One
JENNIFER ERICKSON
PRESIDENT
4032 GAELIC LANE UNIT M
GLEN ALLEN VA 23060-6433
Officer/Director/Trustee Two
ROBIN HORNSTRA
VICE PRESIDENT
9099 MOSSY BROOK RD
MECHANICSVILLE VA 23116-6547
Officer/Director/Trustee Three
LATAUSHA BOONE
SECRETARY
8258 BUFFIN RD
HENRICO VA 23231-7436
| Organization’s website | WWW.THEREFOCUSCENTER.COM |
|---|---|
| Organization’s email | JENNIFER@THEREFOCUSCENTER.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 3/8/2016 |
| Organization Incorporation State | VA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | F60 - Counseling, Support Groups |
| Organization’s purpose | Charitable: Yes Religious: No Educational: No Scientific: Yes Literary: No 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 | 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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