FORM 1023-EZ for REFINERS FIRE HOMELESSNESS INC

Field Data
EIN 81-3934177
Case Number EO-2017229-000200
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name REFINERS FIRE HOMELESSNESS INC
Organization’s Mailing Address 15300 WEST 8 MILE RD APT 2
City OAK PARK
State MI
ZIP 48237
Accounting period End 12
Primary contact name KAREN STARKS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KAREN STARKS
PRESIDENT
15300 WEST 8 MILE RD APT 2
OAK PARK MI 48237

Officer/Director/Trustee Two

CHARISE COATS
DIRECTOR
15300 WEST 8 MILE RD APT 2
OAK PARK MI 48237

Officer/Director/Trustee Three

THEDA FIELDS
DIRECTOR
2015 KALAMAZOO ST SE
GRAND RAPIDS MI 49507

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/3/2016
Organization Incorporation State MI
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: 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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