FORM 1023-EZ for HOUSE OF REFUGE FOR RUTHERFORD COUNTY

Field Data
EIN 47-3270915
Case Number EO-2015091-000235
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HOUSE OF REFUGE FOR RUTHERFORD COUNTY
Organization’s Mailing Address 308 PINEY MOUNTAIN CHURCH ROAD
City ELLENBORO
State NC
ZIP 28040
Accounting period End 12
Primary contact name ANGELA SANFORD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ANGELA SANFORD
PRESIDENT
308 PINEY MOUNTAIN CHURCH ROAD
ELLENBORO NC 28040

Officer/Director/Trustee Two

NELLTORIA TAYLOR ALLISON
TREASURER/SECRETARY
1463 HARRIS-HENRIETTA ROAD
FOREST CITY NC 28043

Officer/Director/Trustee Three

MEREDITH ELLENBURG GREENE
VICE-PRESIDENT
1889 WV THOMPSON ROAD
RUTHERFORDTON NC 28139

Officer/Director/Trustee Four

JOSEPH WATSON SANFORD
BOARD MEMBER
308 PINEY MOUNTAIN CHURCH ROAD
ELLENBORO NC 28040

Officer/Director/Trustee Five

TRAVIS CHRISTOPHER GREENE
BOARD MEMBER
1889 WV THOMPSON ROAD
RUTHERFORDTON NC 28139

Organization’s website WWW.RUNAGAINSTADDICTION.COM
Organization’s email 5KRUNAGAINSTADDICTION@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/8/2014
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F33 - Group Home, Residential Treatment Facility - Mental Health Related
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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
Signature Title
Signature Date

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