FORM 1023-EZ for REFUGEE VILLAGE CORP

Field Data
EIN 82-3371814
Case Number EO-2019148-000469
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name REFUGEE VILLAGE CORP
Organization’s Mailing Address 712 ABREDEEN DRIVE
City STONE MOUNTAIN
State GA
ZIP 30083
Accounting period End 5
Primary contact name ROMERO PEARSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANA SOUSA
PRESIDENT
712 ABREDEEN DRIVE
STONE MOUNTAIN GA 30083

Officer/Director/Trustee Two

MARY ALTMAN
SECRETARY
1014 REDFIELD TERRACE
DUNWOODY GA 30338

Officer/Director/Trustee Three

ADRIAN BERNAL
TREASURER
467 HICKORY HILLS DRIVE
STONE MOUNTAIN GA 30083

Officer/Director/Trustee Four

ROMERO PEARSON
ATTORNEY
16 TOWNE PARK DR
LAWRENCEVILLE GA 30044

Organization’s website REFUGEEVILLAGE.ORG
Organization’s email THEREFUGEEVILLAGE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/11/17
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B99 - Education N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
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 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 Yes
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 ROMERO PEARSON
Signature Title ATTORNEY
Signature Date 5/24/19

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