FORM 1023-EZ for REFOCUS

Field Data
EIN 81-2963442
Case Number EO-2017165-000133
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name REFOCUS
Organization’s Mailing Address 4035 WASHINGTON AVENUE
City NEW ORLEANS
State LA
ZIP 70125
Accounting period End 12
Primary contact name HEATHER MILTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HEATHER MILTON
PRESIDENT
4035 WASHINGTON AVENUE
NEW ORLEANS LA 70125

Officer/Director/Trustee Two

ELISABETH PEREZ
TREASURER
4035 WASHINGTON AVENUE
NEW ORLEANS LA 70125

Officer/Director/Trustee Three

CHIP DUNCAN
SECRETARY
4035 WASHINGTON AVENUE
NEW ORLEANS LA 70125

Officer/Director/Trustee Four

VICKI JUDICE
MEMBER OF BOARD OF DIRECTORS
4035 WASHINGTON AVE
NEW ORLEANS LA 70125

Organization’s website
Organization’s email REFOCUSNOLA@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/17/2016
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
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 Yes
One Third Support Gifts No
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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