FORM 1023-EZ for REJOICE RETREAT

Field Data
EIN 46-1030678
Case Number EO-2016070-000392
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name REJOICE RETREAT
Organization’s Mailing Address PO BOX 1134
City WHEAT RIDGE
State CO
ZIP 80034
Accounting period End 12
Primary contact name DONNA HARPER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DONNA HARPER
CEO
11345 FRANKLIN ST
NORTHGLENN CO 80233

Officer/Director/Trustee Two

MICHAEL HARPER
CFO
11345 FRANKLIN ST
NORTHGLENN CO 80233

Officer/Director/Trustee Three

SARAH HARPER
OFFICER
PO BOX 1134
WHEATRIDGE CO 80034

Officer/Director/Trustee Four

SEAN HARPER
OFFICER
PO BOX 1134
WHAETRIDGE CO 80034

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/21/2012
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X19 - Nonmonetary Support N.E.C.
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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