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RAFIKI FOUNDATION INCORPORATED

Company Details

Entity Name: RAFIKI FOUNDATION INCORPORATED
Jurisdiction: FLORIDA
Filing Type: Foreign Not For Profit Corporation
Status: Active
Date Filed: 12 Feb 2007 (18 years ago)
Document Number: F07000000830
FEI/EIN Number 74-2477089
Address: 23315 CR 44A, EUSTIS, FL 32736
Mail Address: P.O. BOX 1988, EUSTIS, FL 32727
ZIP code: 32736
County: Lake
Place of Formation: TEXAS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
RAFIKI FOUNDATION 401(K) RETIREMENT PLAN 2021 742477089 2022-09-06 RAFIKI FOUNDATION INCORPORATED 32
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2011-01-01
Business code 813000
Sponsor’s telephone number 3524839131
Plan sponsor’s address PO BOX 1988, EUSTIS, FL, 327271988

Plan administrator’s name and address

Administrator’s EIN 742477089
Plan administrator’s name RAFIKI FOUNDATION INCORPORATED
Plan administrator’s address PO BOX 1988, EUSTIS, FL, 327271988
Administrator’s telephone number 3524839131
RAFIKI FOUNDATION 401(K) RETIREMENT PLAN 2020 742477089 2021-04-07 RAFIKI FOUNDATION INCORPORATED 34
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2011-01-01
Business code 813000
Sponsor’s telephone number 3524839131
Plan sponsor’s address PO BOX 1988, EUSTIS, FL, 327271988

Plan administrator’s name and address

Administrator’s EIN 742477089
Plan administrator’s name RAFIKI FOUNDATION INCORPORATED
Plan administrator’s address PO BOX 1988, EUSTIS, FL, 327271988
Administrator’s telephone number 3524839131
RAFIKI FOUNDATION 401(K) RETIREMENT PLAN 2019 742477089 2020-06-23 RAFIKI FOUNDATION INCORPORATED 34
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2011-01-01
Business code 813000
Sponsor’s telephone number 3524839131
Plan sponsor’s address PO BOX 1988, EUSTIS, FL, 327271988

Plan administrator’s name and address

Administrator’s EIN 742477089
Plan administrator’s name RAFIKI FOUNDATION INCORPORATED
Plan administrator’s address PO BOX 1988, EUSTIS, FL, 327271988
Administrator’s telephone number 3524839131
RAFIKI FOUNDATION 401(K) RETIREMENT PLAN 2018 742477089 2019-04-23 RAFIKI FOUNDATION INCORPORATED 34
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2011-01-01
Business code 813000
Sponsor’s telephone number 3524839131
Plan sponsor’s address PO BOX 1988, EUSTIS, FL, 327271988

Plan administrator’s name and address

Administrator’s EIN 742477089
Plan administrator’s name RAFIKI FOUNDATION INCORPORATED
Plan administrator’s address PO BOX 1988, EUSTIS, FL, 327271988
Administrator’s telephone number 3524839131
RAFIKI FOUNDATION 401(K) RETIREMENT PLAN 2017 742477089 2018-07-25 RAFIKI FOUNDATION INCORPORATED 34
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2011-01-01
Business code 813000
Sponsor’s telephone number 3524839131
Plan sponsor’s address PO BOX 1988, EUSTIS, FL, 327271988

Plan administrator’s name and address

Administrator’s EIN 742477089
Plan administrator’s name RAFIKI FOUNDATION INCORPORATED
Plan administrator’s address PO BOX 1988, EUSTIS, FL, 327271988
Administrator’s telephone number 3524839131
RAFIKI FOUNDATION 401(K) RETIREMENT PLAN 2016 742477089 2017-10-12 RAFIKI FOUNDATION INCORPORATED 35
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2011-01-01
Business code 813000
Sponsor’s telephone number 3524839131
Plan sponsor’s address PO BOX 1988, EUSTIS, FL, 327271988

Plan administrator’s name and address

Administrator’s EIN 742477089
Plan administrator’s name RAFIKI FOUNDATION INCORPORATED
Plan administrator’s address PO BOX 1988, EUSTIS, FL, 327271988
Administrator’s telephone number 3524839131
RAFIKI FOUNDATION 401(K) RETIREMENT PLAN 2015 742477089 2016-08-05 RAFIKI FOUNDATION INCORPORATED 34
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2011-01-01
Business code 813000
Sponsor’s telephone number 3524839131
Plan sponsor’s address PO BOX 1988, EUSTIS, FL, 327271988

Plan administrator’s name and address

Administrator’s EIN 742477089
Plan administrator’s name RAFIKI FOUNDATION INCORPORATED
Plan administrator’s address PO BOX 1988, EUSTIS, FL, 327271988
Administrator’s telephone number 3524839131

Signature of

Role Plan administrator
Date 2016-08-05
Name of individual signing KAREN ELLIOTT
Valid signature Filed with authorized/valid electronic signature
RAFIKI FOUNDATION INCORPORATED RETIREMENT PLAN 2015 742477089 2016-01-19 RAFIKI FOUNDATION INCORPORATED 107
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2001-01-01
Business code 813000
Sponsor’s telephone number 3524839131
Plan sponsor’s address PO BOX 1988, EUSTIS, FL, 327271988

Signature of

Role Plan administrator
Date 2016-01-19
Name of individual signing KAREN ELLIOTT
Valid signature Filed with authorized/valid electronic signature
RAFIKI FOUNDATION 401(K) RETIREMENT PLAN 2014 742477089 2015-10-15 RAFIKI FOUNDATION INCORPORATED 55
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2011-01-01
Business code 813000
Sponsor’s telephone number 3524839131
Plan sponsor’s address PO BOX 1988, EUSTIS, FL, 327271988

Plan administrator’s name and address

Administrator’s EIN 742477089
Plan administrator’s name RAFIKI FOUNDATION INCORPORATED
Plan administrator’s address PO BOX 1988, EUSTIS, FL, 327271988
Administrator’s telephone number 3524839131

Signature of

Role Plan administrator
Date 2015-10-15
Name of individual signing KAREN ELLIOTT
Valid signature Filed with authorized/valid electronic signature
RAFIKI FOUNDATION 401(K) RETIREMENT PLAN 2013 742477089 2014-07-16 RAFIKI FOUNDATION INCORPORATED 61
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2011-01-01
Business code 813000
Sponsor’s telephone number 3524839131
Plan sponsor’s address PO BOX 1988, EUSTIS, FL, 327271988

Plan administrator’s name and address

Administrator’s EIN 742477089
Plan administrator’s name RAFIKI FOUNDATION INCORPORATED
Plan administrator’s address PO BOX 1988, EUSTIS, FL, 327271988
Administrator’s telephone number 3524839131

Signature of

Role Plan administrator
Date 2014-07-16
Name of individual signing KAREN ELLIOTT
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
CLEMENT, G. EDWARD ESQ Agent 308 E FIFTH AVE, MOUNT DORA, FL 32757

Treasurer

Name Role Address
SHOQUIST, TOM Treasurer 327 Santiago Drive, Winter Park, FL 32778

Director

Name Role Address
JOHNSTON, MAYHOWARD Director 5161 FALCON RIDGE RD, ROANOKE, VA 24018
JOHNSON, DENNIS Director 163 Grey Ridge Dr, Dayton, TN 37321
CARLA, NORTHINGTON Director 414 CANDILLERA TRACE, BOERNE, TX 78006
Crawford, Susan Director 12217 Bay Heights Boulevard, Grabill, IN 46741
Hoke, Tim Director 3202 46th Street, Lubbock, TX 79413
Waters, Guy Director 308 Westwood Court, Madison, MS 39110

President

Name Role Address
JENSEN, ROSEMARY President 38435 Timberlane Dr, Umatilla, FL 32784

Executive Director

Name Role Address
Elliott, Karen Executive Director 34240 Woodridge Ln, Eustis, FL 32736

Director of Finance

Name Role Address
Kreamer, Thomas Director of Finance 307 W Blue Water Edge Dr, Eustis, FL 32736

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2008-04-29 23315 CR 44A, EUSTIS, FL 32736 No data
CHANGE OF MAILING ADDRESS 2008-04-29 23315 CR 44A, EUSTIS, FL 32736 No data

Documents

Name Date
ANNUAL REPORT 2024-02-15
ANNUAL REPORT 2023-03-14
ANNUAL REPORT 2022-01-31
ANNUAL REPORT 2021-02-04
ANNUAL REPORT 2020-04-21
ANNUAL REPORT 2019-02-20
ANNUAL REPORT 2018-03-15
ANNUAL REPORT 2017-04-12
ANNUAL REPORT 2016-03-22
ANNUAL REPORT 2015-01-26

Date of last update: 02 Jan 2025

Sources: Florida Department of State