FORM 1023-EZ for FRIENDS OF CASA DE ASILO

Field Data
EIN 81-1447309
Case Number EO-2016146-000189
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FRIENDS OF CASA DE ASILO
Organization’s Mailing Address 6302 WESCOTT DRIVE
City SUMMERFIELD
State NC
ZIP 27358-8002
Accounting period End 12
Primary contact name KRISTAN BRYANT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

THOMAS OFLAHERTY
PRESIDENT, DIRECTOR
PO BOX 622
SAXTONS RIVER VT 05154-0622

Officer/Director/Trustee Two

MARK JOHNSON
VICE PRESIDENT, DIRECTOR
6302 WESCOTT DRIVE
SUMMERFIELD NC 27358-8002

Officer/Director/Trustee Three

TIFFANY ROOSE
SECRETARY
3761 EAST DECATUR STREET
MESA AZ 85205-6101

Officer/Director/Trustee Four

JEAN SOHMER
TREASURER, DIRECTOR
6302 WESCOTT DRIVE
SUMMERFIELD NC 27358-8002

Officer/Director/Trustee Five

JOHN SCHNEIDER
DIRECTOR
2801 STEPLES AVENUE
KEY WEST FL 33040-4040

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/23/2016
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
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 No
Donation of funds No
Conducting Activities Outside of United States Yes
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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