FORM 1023-EZ for REFRESHED USA
| Field | Data |
|---|---|
| EIN | 47-5562397 |
| Case Number | EO-2015320-000455 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | REFRESHED USA |
| Organization’s Mailing Address | 2255 W ARGYLE |
| City | CHICAGO |
| State | IL |
| ZIP | 60625 |
| Accounting period End | 12 |
| Primary contact name | JOHN DALE VAN SLYKE |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
Officer/Director/Trustee One
MEHA DAVE
BOARD MEMBER
5500 S LAKE SHORE DR
CHICAGO IL 60637
Officer/Director/Trustee Two
MARK LARSON
BOARD MEMBER
2315 PROSPECT
EVANSTON IL 60201
Officer/Director/Trustee Three
CORNELIUS LEE
BOARD MEMBER
2624 W IOWA
CHICAGO IL 60622
Officer/Director/Trustee Four
AMANDA KILIBARDA
FOUNDER
1848 W 21ST
CHICAGO IL 60608
Officer/Director/Trustee Five
JOHN DALE VAN SLYKE
FOUNDER
2255 W ARGYLE
CHICAGO IL 60625
| Organization’s website | WWW.REFRESHED.US |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 4/1/2015 |
| Organization Incorporation State | IL |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | B99 - Education N.E.C. |
| Organization’s purpose | Charitable: No Religious: No Educational: Yes 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 | |
| Signature Title | |
| Signature Date |
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