FORM 1023-EZ for HOUSE OF REFUGE MINISTRIES INC

Field Data
EIN 43-1947339
Case Number EO-2015063-000164
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HOUSE OF REFUGE MINISTRIES INC
Organization’s Mailing Address PO BOX 100
City ST CHARLES
State MO
ZIP 63302
Accounting period End 12
Primary contact name CARLA M CAMPBELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CARLA CAMPBELL
DIRECTOR/PRESIDENT
3004 SAN SOUCI DRIVE
LAKE ST LOUIS MO 63367

Officer/Director/Trustee Two

WILBERT GOATLEY
DIRECTOR
11531 PLACER AVE
ST LOUIS MO 63138

Officer/Director/Trustee Three

CLAUDIA HALL
DIRECTOR
3480 MILLINGTON DRIVE
ST CHARLES MO 63301

Officer/Director/Trustee Four

RONALD BOBO
DIRECTOR
1130 OLIVAIRE LANE
OLIVETTE MO 63132

Organization’s website WWW.HOUSEOFREFUGEMINISTRIES.NET
Organization’s email CONTACT@HOUSEOFREFUGEMINISTRIES.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/11/2001
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P43 - Family Violence Shelters, 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 Yes
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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