FORM 1023-EZ for MIFA INSTITUTE

Field Data
EIN 46-2973719
Case Number EO-2015231-000308
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MIFA INSTITUTE
Organization’s Mailing Address 18 S HUDSON STREET
City ALEXANDRIA
State VA
ZIP 22304
Accounting period End 12
Primary contact name ANN PATTERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DAVID POPIK
CHAIRMAN
4800 DEERWOOD CAMPUS PKWY
JACKSONVILLE FL 32246-8273

Officer/Director/Trustee Two

GREG RADINSKY
SECRETARY
200 COMMUNITY DRIVE
GREAK NECK NY 11021

Officer/Director/Trustee Three

MEREDITH PHILLIPS
DIRECTOR
1 FORD PLACE STE 2A10
DETROIT MI 48202

Officer/Director/Trustee Four

CHRISTINE AREVALO
DIRECTOR
10300 SW GREENBURG RD STE 570
PORTLAND OR 97223

Officer/Director/Trustee Five

ANN PATTERSON
SVP, PROGRAM DIRECTOR
18 S HUDSON ST
ALEXANDRIA VA 22304

Organization’s website
Organization’s email ANN@MEDIDFRAUD.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/11/2013
Organization Incorporation State DC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W90 - Consumer Protection, Safety
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 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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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