FORM 1023-EZ for DEMENTIA REDEFINED INC

Field Data
EIN 82-1764932
Case Number EO-2017177-000117
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DEMENTIA REDEFINED INC
Organization’s Mailing Address 9924 AZALEA BLOOM WAY 318
City RIVERVIEW
State FL
ZIP 33578
Accounting period End 12
Primary contact name RUTH ANNE RISTOW
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RUTH ANNE RISTOW
EXECUTIVE DIRECTOR
9924 AZALEA WAY APT 318
RIVERVIEW FL 33578

Officer/Director/Trustee Two

CAROLYN CANN
CHAIR
9924 AZALEA WAY APT 318
RIVERVIEW FL 33578

Officer/Director/Trustee Three

TAYLOR PENVOSE
TREASURER
9924 AZALEA WAY APT 318
RIVERVIEW FL 33578

Organization’s website WWW.DEMENTIAREDEFINED.COM
Organization’s email RISTOW@DEMENTIAREDEFINED.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/1/2016
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G83 - Alzheimer's Disease
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 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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