FORM 1023-EZ for ARMS OF REFUGE INC

Field Data
EIN 27-4723170
Case Number EO-2015096-000207
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ARMS OF REFUGE INC
Organization’s Mailing Address 3627 CUMBERLAND RD
City FAYETTEVILLE
State NC
ZIP 28306
Accounting period End 12
Primary contact name RONALD PITTMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

RONALD PITTMAN
EXECUTIVE DIRECTOR
813 KATIE ST
Fayetteville NC 28306

Officer/Director/Trustee Two

KEN HAYWOOD
CHAIRMAN OF THE BOARD
5028 GRAYSTONE RD
FAYETTEVILLE NC 28311

Officer/Director/Trustee Three

HEATHER DESORBO
TREASURE
1259 WADE STEDMAN RD
FAYETTEVILLE NC 28301

Officer/Director/Trustee Four

JASON STEWART
CO CHAIRMAN
1428 EISENHOWER ST
FAYETTEVILLE NC 28301

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/24/2011
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L41 - Homeless, Temporary Shelter For
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 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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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