FORM 1023-EZ for ANGELS RETREAT

Field Data
EIN 83-2810698
Case Number EO-2019035-000299
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ANGELS RETREAT
Organization’s Mailing Address 361 CORRINE ROAD
City WEST CHESTER
State PA
ZIP 19382
Accounting period End 12
Primary contact name MELISSA HEISEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MELISSA HEISEY
PRESIDENT AND TREASURER
361 CORRINE ROAD
WEST CHESTER PA 19382

Officer/Director/Trustee Two

STEPHANIE ROSS
VICE PRESIDENT
310 W 93RD ST APT 2H
NEW YORK NY 10025

Officer/Director/Trustee Three

TIFFANY LACEY
SECRETARY
200 CENTRE ST
NEW YORK NY 10013

Organization’s website ANGELSRETREAT.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/6/18
Organization Incorporation State PA
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: 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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MELISSA HEISEY
Signature Title PRESIDENT AND TREASURER
Signature Date 1/9/19

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