FORM 1023-EZ for REFUGE-212

Field Data
EIN 61-1771111
Case Number EO-2016133-000104
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name REFUGE-212
Organization’s Mailing Address 1820 S STREET SE
City WASHINGTON
State DC
ZIP 20020
Accounting period End 12
Primary contact name ROSA SAUNDERS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SYLVIA KOONCE
BOARD MEMBER
4414 LAVENDER LANE
BOWIE MD 20720

Officer/Director/Trustee Two

MISHAWN ENGLISH
DIRECTOR OF OPERATIONS
3085 SUNSET LANE
SUITLAND MD 20746

Officer/Director/Trustee Three

KIONNA WHITE-HILL
DIREC. CLINICAL/QUALITY COMPLIANCE
1140 VARNUM ST NE 107
WASHINGTON DC 20017

Officer/Director/Trustee Four

CAITLIN ALFRED
DIRECTOR SOCIAL ENGAGEMENT
1820 S ST SE
WASHINGTON DC 20020

Officer/Director/Trustee Five

DANIELLE CARTWRIGHT
EXECUTIVE DIRECTOR
1820 S ST SE
WASHINGTON DC 20020

Organization’s website
Organization’s email REFUGE212@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/2/2016
Organization Incorporation State DC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P80 - Services to Promote the Independence of Specific Populations
Organization’s purpose Charitable: Yes
Religious: Yes
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 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
Signature Title
Signature Date

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