FORM 1023-EZ for REFRESHED REFORMED REFINED R3 INC

Field Data
EIN 86-1260084
Case Number EO-2021130-000144
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name REFRESHED REFORMED REFINED R3 INC
Organization’s Mailing Address 1873 PEBBLE LAKE DRIVE
City BIRMINGHAM
State AL
ZIP 35235
Accounting period End 12
Primary contact name BARBARA WHITT JACKSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BARBARA JACKSON
DIRECTOR
1873 PEBBLE LAKE DRIVE
BIRMINGHAM AL 35235

Officer/Director/Trustee Two

JOANNE MORGAN
DIRECTOR
123 S WOOD ST
BEDFORD PA 15522

Officer/Director/Trustee Three

DENISE RIVKEES
DIRECTOR
130 WOODBRIDGE AVE
METUCHEN NJ 08840

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/21/2021
Organization Incorporation State AL
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 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 BARBARA JACKSON
Signature Title DIRECTOR
Signature Date 5/6/2021

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