| Field | Data |
|---|---|
| EIN | 85-0983205 |
| Case Number | EO-2021110-000039 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | PHOENIX REBORN |
| Organization’s Mailing Address | 117 WEST KELLY AVE |
| City | HAMPTON |
| State | VA |
| ZIP | 23663 |
| Accounting period End | 12 |
| Primary contact name | THOMAS KEARNEY |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
THOMAS KEARNEY
EXECUTIVE DIRECTOR
117 WEST KELLY AVE
HAMPTON VA 23663
AZARIAH KEARNEY
DIRECTOR
117 WEST KELLY AVE
HAMPTON VA 23663
TABATHA ROSE
DIRECTOR
117 W KELLY AVE
HAMPTON GA 23663
COREY LEE
DIRECTOR
9 BRUINSWAY DR
HAMPTON GA 23666
KELSEY HYMAN
DIRECTOR
39 CORNWALL TERRACE
HAMPTON GA 23666
| Organization’s website | WWW.PHOENIXREBORN.ORG |
|---|---|
| Organization’s email | TK_BUCKETLIST@OUTLOOK.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 6/30/2020 |
| Organization Incorporation State | VA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | O50 - Youth Development Programs, Other |
| Organization’s purpose | Charitable: Yes Religious: No Educational: Yes Scientific: No Literary: No Public Safety: No Amateur Sports: Yes 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 | 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 | THOMAS KEARNEY |
| Signature Title | EXECUTIVE DIRECTOR |
| Signature Date | 4/10/2021 |
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