FORM 1023-EZ for THE PHOENIX PHASE INITIATIVE

Field Data
EIN 84-1884601
Case Number EO-2019200-000262
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE PHOENIX PHASE INITIATIVE
Organization’s Mailing Address 916 SOUTH 6TH AVENUE WEST
City NEWTON
State IA
ZIP 50208-4549
Accounting period End 4
Primary contact name COLLIN BARNES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

COLLIN BARNES
PRESIDENT, DIRECTOR
916 SOUTH 6TH AVENUE WEST
NEWTON IA 50208-4549

Officer/Director/Trustee Two

DANIELLE BARNES
SECRETARY, TREASURER, DIRECTOR
916 SOUTH 6TH AVENUE WEST
NEWTON IA 50208-4549

Organization’s website WWW.PHOENIXPHASEINITIATIVE.ORG
Organization’s email INFO@PHOENIXPHASEINITIATIVE.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/23/19
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P62 - Victims' 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 Yes
Conducting Activities Outside of United States Yes
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 COLLIN BARNES
Signature Title PRESIDENT, DIRECTOR
Signature Date 7/17/19

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