FORM 1023-EZ for NOODLES ANIMAL REFUGE INC

Field Data
EIN 81-5483762
Case Number EO-2017116-000118
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NOODLES ANIMAL REFUGE INC
Organization’s Mailing Address 1811 W FINLAND DRIVE
City DELTONA
State FL
ZIP 32725-3510
Accounting period End 12
Primary contact name KIMBERLY EASTIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KIMBERLY EASTIN
PRESIDENT
1811 W FINLAND DR
DELTONA FL 32725-3510

Officer/Director/Trustee Two

PHYLLIS MAHHEIMER
VICE PRESIDENT
692 N APACHE CIR
DELTONA FL 32725-3510

Officer/Director/Trustee Three

MELANIE ATKINS
SECRETARY
P O BOX 4252
ORMOND BEACH FL 32171

Officer/Director/Trustee Four

ROBERT MANHEIMER
TREASURER
1825 ESCOBAR
DELTONA FL 32725-3510

Organization’s website
Organization’s email EASTINSCHLIEPER@HOTMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/12/2017
Organization Incorporation State FL
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: 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 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
Signature Title
Signature Date

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