FORM 1023-EZ for CITY OF REFUGE INC

Field Data
EIN 81-3631182
Case Number EO-2017096-000337
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CITY OF REFUGE INC
Organization’s Mailing Address 11205 LEBANON RD
City MOUNT JULIET
State TN
ZIP 37122-8599
Accounting period End 12
Primary contact name KYLE FORD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KYLE FORD
PRESIDENT
2737 WASHINGTON PIKE
KNOXVILLE TN 37917-3337

Officer/Director/Trustee Two

ELIZABETH FORD
VICE-PRESIDENT
2737 WASHINGTON PIKE
KNOXVILLE TN 37917-3337

Officer/Director/Trustee Three

SARAH ZIEGLER
TREASURER
8322 GLEASON DR
KNOXVILLE TN 37919-3736

Officer/Director/Trustee Four

TIMOTHY DENNIS
SECRETARY
3122 BELLEVUE ST
KNOXVILLE TN 37917-3337

Organization’s website HTTP://WWW.CITYOFREFUGEKNOX.ORG
Organization’s email CITYOFREFUGE@LIVE.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/15/2016
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 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
Signature Title
Signature Date

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