FORM 1023-EZ for HUMBLE FARM REFUGE INC

Field Data
EIN 82-0590772
Case Number EO-2017060-000311
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HUMBLE FARM REFUGE INC
Organization’s Mailing Address 310 SOUTH CLARK STREET
City MILLEDGEVILLE
State GA
ZIP 31061
Accounting period End 12
Primary contact name ARTHUR R THOMAS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ARTHUR THOMAS
CEO
310 SOUTH CLARK ST
MILLEDGEVILLE GA 31061

Officer/Director/Trustee Two

DOLORES DAVIS
TREASURER
571 SERENE WATERS TRAIL
JONESBORO GA 30236

Officer/Director/Trustee Three

LEONARD SPRINGS
DIRECTOR
10911 TAVERENAY PARKWAY
CHARLOTTE NC 28262

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/6/2017
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K20 - Agricultural Programs
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 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 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
Signature Title
Signature Date

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