FORM 1023-EZ for MIRACLE RYKER FOUNDATION

Field Data
EIN 47-4370565
Case Number EO-2015180-000356
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MIRACLE RYKER FOUNDATION
Organization’s Mailing Address 839 E CHERRYWOOD PL
City CHANDLER
State AZ
ZIP 85249
Accounting period End 12
Primary contact name SCOTT R JENKINS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

RACHEL WARNER
TRUSTEE
839 EAST CHERRYWOOD PLACE
CHANDLER AZ 85249

Officer/Director/Trustee Two

GERALD MARX
TRUSTEE
300 LONGWOOD
BOSTON MA 02115

Officer/Director/Trustee Three

JASON WARNER
TRUSTEE
839 EAST CHERRYWOOD PLACE
CHANDLER AZ 85249

Officer/Director/Trustee Four

JAIME COLEMERE
TRUSTEE
13125 S 2980 E
RIVERTON UT 84065

Officer/Director/Trustee Five

BRYAN COLEMERE
TRUSTEE
13125 S 2980 E
RIVERTON UT 84065

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/12/2015
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code H99 - Medical Research N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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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