| Field | Data |
|---|---|
| EIN | 47-2118725 |
| Case Number | EO-2019329-000570 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | BRIZA REFRESCANTE REREAT INC |
| Organization’s Mailing Address | 1932 MACK RD |
| City | DOUGLASVILLE |
| State | GA |
| ZIP | 30135 |
| Accounting period End | 12 |
| Primary contact name | SHELLEY WILLARD |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
SHELLEY WILLARD
PRESIDENT
1932 MACK RD
DOUGLASVILLE GA 30135
DAVID WILLARD
CEO
1932 MACK RD
DOUGLASVILLE GA 30135
LUZ ESTELA ORTIZ
SECRETARY
1932 MACK RD
DOUGLASVILLE GA 30135
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 10/23/14 |
| Organization Incorporation State | GA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | X20 - Christian |
| Organization’s purpose | Charitable: No Religious: Yes 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 | Yes |
| Correctness Declaration | Yes |
| Signature Name | SHELLEY WILLARD |
| Signature Title | PRESIDENT |
| Signature Date | 11/22/19 |
| EIN | 47-2118725 |
| Case Number | EO-2014304-000471 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | BRIZA REFRESCANTE RETREAT INC |
| Organization’s Mailing Address | 3027 BELLINGHAM WAY |
| City | LITHIA SPRINGS |
| State | GA |
| ZIP | 30122 |
| Accounting period End | 12 |
| Primary contact name | SHELLEY WILLARD |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
SHELLEY WILLARD
PRESIDENT, DIRECTOR
3027 BELLINGHAM WAY
LITHIA SPRINGS GA 30122
CARLOS GUEVARA
TREASURER, DIRECTOR
3890 SUGARBROOK DR
LAWRENCEVILLE GA 30044
YORLINE DELICE
SECRETARY, DIRECTOR
585 NOTTINGHAM DR
DOUGLASVILLE GA 30134
| Organization’s website | N/A |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 10/20/2014 |
| Organization Incorporation State | GA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P20 - Human Service Organizations - Multipurpose |
| Organization’s purpose | Charitable: Yes Religious: Yes 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 | 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 | 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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