FORM 1023-EZ for ANGELS RETREAT INC

Field Data
EIN 82-5363290
Case Number EO-2018151-000004
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ANGELS RETREAT INC
Organization’s Mailing Address 289 EAGLE FORK TERRACE
City HAYESVILLE
State NC
ZIP 28904
Accounting period End 12
Primary contact name JACQUELINE STANLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KYLE DOLL
CHAIR TREASURER
287 EAGLE FORK DRIVE
HAYESVILLE NC 28904

Officer/Director/Trustee Two

RACHEL DOLL
VICE CHAIR SECRETARY
287 EAGLE FORK DRIVE
HAYESVILLE NC 28904

Officer/Director/Trustee Three

URSULA HARGREAVES
BOARD MEMBER
5102 CROOKED CREEK LANE
YOUNG GA 30582

Officer/Director/Trustee Four

JESSICA SCRUGGS
BOARD MEMBER
711 SNOW HILL ROAD
FRANKLIN NC 28734

Officer/Director/Trustee Five

LORIE SORDELET
BOARD MEMBER
75 ELLARD PLACE
BLAIRSVILLE GA 30512

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/13/18
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D20 - Animal Protection and Welfare
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 KYLE DOLL
Signature Title CHAIR TREASURER
Signature Date 5/26/18

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