FORM 1023-EZ for HOUSE OF REFUGE INTERNATIONAL OUTREACH MINISTRY

Field Data
EIN 83-2270899
Case Number EO-2019346-000368
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HOUSE OF REFUGE INTERNATIONAL OUTREACH MINISTRY
Organization’s Mailing Address 499 RAYMOND ST
City MOCKSVILLE
State NC
ZIP 27028
Accounting period End 12
Primary contact name TONYA FLOWERS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TONYA FLOWERS
DIRECTOR
P O BOX 452
DARLINGTON SC 29532

Officer/Director/Trustee Two

BOBBY FLOWERS JR
TREASURER
P O BOX 45
DARLINGTON SC 29532

Officer/Director/Trustee Three

OBRIEN SMITH
SECRETARY
P O BOX 452
DARLINGTON SC 29532

Organization’s website
Organization’s email AMISSION2@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/25/2018
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P62 - Victims' Services
Organization’s purpose Charitable: Yes
Religious: Yes
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 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 TONYA FLOWERS
Signature Title DIRECTOR
Signature Date 12/10/2019

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