FORM 1023-EZ for CAROLINA HILLS FARM ANIMAL REFUGE INC

Field Data
EIN 86-1597497
Case Number EO-2021078-000938
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CAROLINA HILLS FARM ANIMAL REFUGE INC
Organization’s Mailing Address 1783 BOILING SPRINGS RD
City BARNWELL
State SC
ZIP 29812-7112
Accounting period End 12
Primary contact name RICHARD HERRLIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RICHARD HERRLIN
DIRECTOR
1673 BOILING SPRINGS RD
BARNWELL SC 29812-7112

Officer/Director/Trustee Two

ALEXANDRA HERRLIN
OFFICER
1783 BOILING SPRINGS RD
BARNWELL SC 29812-7112

Officer/Director/Trustee Three

MIA HERRLIN
OFFICER
1783 BOILING SPRINGS RD
BARNWELL SC 29812-7112

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/19/2021
Organization Incorporation State SC
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: Yes
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers Yes
Unrelated Gross Income $1,000 or More Yes
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 RICHARD HERRLIN
Signature Title DIRECTOR
Signature Date 1/21/2021

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