FORM 1023-EZ for HOSANNA LN FARMS CITY OF REFUGE INC

Field Data
EIN 81-1246441
Case Number EO-2018317-000263
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HOSANNA LN FARMS CITY OF REFUGE INC
Organization’s Mailing Address 1181 GLORY LN
City CHIPLEY
State FL
ZIP 32428
Accounting period End 12
Primary contact name LEIRA STROBEL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LEIRA STROBEL
DIRECTOR
1181 GLORY LN
CHIPLEY FL 32428

Officer/Director/Trustee Two

CINDY UTTER
SEC
1181 GLORY LN
CHIPLEY FL 32428

Officer/Director/Trustee Three

MARIA PADIN
TRES
1181 GLORY LN
CHIPLEY FL 32428

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/20/16
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X11 - Single Organization Support
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
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 LEIRA STROBEL
Signature Title DIRECTOR
Signature Date 11/8/18

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