FORM 1023-EZ for REGENERATION INTERNATIONAL INC

Field Data
EIN 82-4297567
Case Number EO-2018052-000199
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name REGENERATION INTERNATIONAL INC
Organization’s Mailing Address 22 HIGH POINT WOODS DRIVE APT 101
City MADISON
State WI
ZIP 53719
Accounting period End 12
Primary contact name CHARISA STAUFFACHER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHARISA STAUFFACHER
PRESIDENT
22 HIGH POINT WOODS DR APT 101
MADISON WI 53719-3286

Officer/Director/Trustee Two

MIDIUS REED
VICE PRESIDENT
22 HIGH POINT WOODS DR APT 101
MADISON WI 53719-3286

Officer/Director/Trustee Three

VANESSA INEZA
TREASURER
22 HIGH POINT WOODS DR APT 101
MADISON WI 53719-3286

Organization’s website REGENERATIONINTERNATIONALINC.COM
Organization’s email REGENERATIONINTERNATIONALINC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/29/18
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
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 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 Yes
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 CHARISA STAUFFACHER
Signature Title PRESIDENT
Signature Date 2/19/18

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