FORM 1023-EZ for BROKEN WIENER REFUGE INC

Field Data
EIN 85-0924609
Case Number EO-2020175-000178
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BROKEN WIENER REFUGE INC
Organization’s Mailing Address 12414 LACEY DR
City NEW PORT RICHEY
State FL
ZIP 34654
Accounting period End 12
Primary contact name SONJA LOPEZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SONJA LOPEZ
OFFICER
12414 LACEY DR
NEW PORT RICHEY FL 34654

Officer/Director/Trustee Two

RICARDO LOPEZ
OFFICER
12414 LACEY DR
NEW PORT RICHEY FL 34654

Organization’s website
Organization’s email BROKENWIENERREFUGE@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/24/2020
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: No
Religious: No
Educational: No
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 No
One Third Support Public No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name SONJA LOPEZ
Signature Title OFFICER
Signature Date 6/21/2020

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