FORM 1023-EZ for REFICHARITY

Field Data
EIN 85-2212609
Case Number EO-2021154-000058
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name REFICHARITY
Organization’s Mailing Address 9537 W KEYSER DR
City PEORIA
State AZ
ZIP 85383
Accounting period End 12
Primary contact name DON DERRICK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DON DERRICK
PRESIDENT
9537 W KEYSER DR
PEORIA AZ 85383

Officer/Director/Trustee Two

TOM WOODWORTH
VICE PRESIDENT
9559 W KEYSER DRIVE
PEORIA AZ 85383

Organization’s website REFI.CHARITY
Organization’s email REFI.CHARITY@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/2/2020
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P75 - Senior Continuing Care Communities
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 DON DERRICK
Signature Title PRESIDENT
Signature Date 5/31/2021

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