FORM 1023-EZ for STILL WATERS REFUGE INC

Field Data
EIN 83-3174297
Case Number EO-2019071-000825
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name STILL WATERS REFUGE INC
Organization’s Mailing Address 475 FAIR ST
City CARMEL
State NY
ZIP 10512
Accounting period End 12
Primary contact name MARIA BOWE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ADRIAN BOWE
DIRECTOR
475 FAIR ST
CARMEL NY 10512

Officer/Director/Trustee Two

MARIA BOWE
DIRECTOR
475 FAIR ST
CARMEL NY 10512

Officer/Director/Trustee Three

JERALD LOWRANCE
DIRECTOR
1815 BRUCKNER BLVD APT 1C
BRONX NY 10472

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/14/19
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ADRIAN BOWE
Signature Title DIRECTOR
Signature Date 3/8/19

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