FORM 1023-EZ for THE REFUGE OF BLOUNT COUNTY

Field Data
EIN 84-3312065
Case Number EO-2019288-000154
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE REFUGE OF BLOUNT COUNTY
Organization’s Mailing Address 75 CEMETERY ROAD
City ALTOONA
State AL
ZIP 35952
Accounting period End 12
Primary contact name CHRIS R KNIGHT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHRIS KNIGHT
PRESIDENT
75 CEMETERY ROAD
ALTOONA AL 35952

Officer/Director/Trustee Two

RICK SANDERS
VICE PRESIDENT
3415 CTY HWY 39
ONEONTA AL 35121

Officer/Director/Trustee Three

DAN BOATMAN
2ND VICE PRESIDENT
15415 CTY HWY 26
BLOUNTSVILLE AL 35031

Officer/Director/Trustee Four

ELIYA KNIGHT
SECRETARY/TREASURER
114 TIDMORE AVENUE
ONEONTA AL 35121

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/8/19
Organization Incorporation State AL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X99 - Religion Related, Spiritual Development N.E.C.
Organization’s purpose Charitable: Yes
Religious: Yes
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 Yes
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 CHRIS KNIGHT
Signature Title PRESIDENT
Signature Date 10/10/19

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