FORM 1023-EZ for SAVING GRACE ANIMAL REFUGE INC

Field Data
EIN 81-4368333
Case Number EO-2017033-000183
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SAVING GRACE ANIMAL REFUGE INC
Organization’s Mailing Address 1052-A SAM ROBISON RD
City WILMER
State AL
ZIP 36587
Accounting period End 12
Primary contact name CARLA SWANN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CARLA SWANN
PRESIDENT
1052 A SAM ROBINSON RD
WILMER AL 36587

Officer/Director/Trustee Two

JAN HARRIS
DIRECTOR
1416 LATTE DR 103
CELEBRATION AL 34747

Officer/Director/Trustee Three

GAIL SHIELDS
DIRECTOR
8950 THEODORE DAWES RD LOT 52
THEORDORE AL 36582

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/22/2016
Organization Incorporation State AL
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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