FORM 1023-EZ for REMISSION COACH INC

Field Data
EIN 81-5036749
Case Number EO-2017023-000259
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name REMISSION COACH INC
Organization’s Mailing Address 27 WEST MORTEN AVENUE
City PHOENIX
State AZ
ZIP 85021-7246
Accounting period End 12
Primary contact name MARCIA HORN JD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBERT TAMIS
CHAIRMAN
5625 NORTH CAMINO DEL CONTENTO
PARADISE VALLEY AZ 85253

Officer/Director/Trustee Two

CHERYL HINTZEN-GAINES
VICE CHAIRMAN
1819 E MORTEN SUITE 180
PHOENIX AZ 85020

Officer/Director/Trustee Three

JAMES GREGORY
CHIEF FINANCIAL OFFICER
500 W CLARENDON A1
PHOENIX AZ 85013-3403

Officer/Director/Trustee Four

SIDNEY ROSEN
VICE CHAIRMAN
4323 NORTH 12TH STREET
PHOENIX AZ 85014

Officer/Director/Trustee Five

MARCIA HORN
RECORDING SECRETARY
27 WEST MORTEN AVENUE
PHOENIX AZ 85021

Organization’s website REMISSIONCOACH.ORG
Organization’s email CANCERPATIENTADVOCACY@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/22/2016
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G40 - Diseases of Specific Organs
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
Signature Title
Signature Date

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