FORM 1023-EZ for EPIPHANY PROJECT INC

Field Data
EIN 85-2548341
Case Number EO-2020258-000268
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EPIPHANY PROJECT INC
Organization’s Mailing Address 2451 E BASELINE SUITE 130
City GILBERT
State AZ
ZIP 85234
Accounting period End 12
Primary contact name RICHARD BRUBAKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RICHARD BRUBAKER
CHAIR AND DIRECTOR
2451 E BASELINE SUITE 130
GILBERT AZ 85234

Officer/Director/Trustee Two

ASHLEY BRUBAKER
SECRETARY/TREASURER AND DIRECTOR
2451 E BASELINE SUITE 130
GILBERT AZ 85234

Officer/Director/Trustee Three

GREG ALI
DIRECTOR
2451 E BASELINE SUITE 130
GILBERT AZ 85234

Officer/Director/Trustee Four

YVONNE AYON
DIRECTOR
2451 E BASELINE SUITE 130
GILBERT AZ 85234

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/5/2020
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E99 - Health - General and Rehabilitative 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 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 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 RICHARD BRUBAKER
Signature Title CHAIR AND DIRECTOR
Signature Date 9/10/2020

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