FORM 1023-EZ for SISU REFUGE

Field Data
EIN 84-2536439
Case Number EO-2019212-000245
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SISU REFUGE
Organization’s Mailing Address 4004 N NC 903 HWY
City ALBERTSON
State NC
ZIP 28508
Accounting period End 4
Primary contact name JOSEPH PURINGTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ERIKA PURINGTON
FOUNDER/DIRECTOR
4004 N NC 903 HWY
ALBERTSON NC 28508

Officer/Director/Trustee Two

JOSEPH PURINGTON
CO-FOUNDER/PROJ MANAGER
4004 N NC 903 HWY
ALBERTSON NC 28508

Officer/Director/Trustee Three

LAURA SANCHEZ
BOARD MEMBER
333 SHADY LANE
THAMASVILLE NC 27360

Organization’s website SISUREFUGE.ORG
Organization’s email SISUREFUGE@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/2/19
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D20 - Animal Protection and Welfare
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 Yes
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 JOSEPH PURINGTON
Signature Title CO-FOUNDER/PROJ MANAGER
Signature Date 7/29/19

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