FORM 1023-EZ for REFOCUS MINISTRY INC

Field Data
EIN 87-2781299
Case Number EO-2021279-000194
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name REFOCUS MINISTRY INC
Organization’s Mailing Address 3518 RAMSGATE COURT
City LEXINGTON
State KY
ZIP 40503-4103
Accounting period End 12
Primary contact name CHRISTINA EMBREE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHRISTINA EMBREE
PRESIDENT
3518 RAMSGATE COURT
LEXINGTON KY 40503-4103

Officer/Director/Trustee Two

SARAH FLANNERY
VICE PRESIDENT
3410 FRASERDALE DRIVE
LEXINGTON KY 40503-4225

Officer/Director/Trustee Three

MATTHEW DEPREZ
TREASURER
3623 POPPI AVENUE
EVANS CO 80620-8903

Officer/Director/Trustee Four

KRISTA DUTT
SECRETARY
907 N KEELER AVENUE
CHICAGO IL 60651-3527

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/3/2021
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X02 - Management & Technical Assistance
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 CHRISTINA EMBREE
Signature Title PRESIDENT
Signature Date 10/4/2021

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