FORM 1023-EZ for COLLAR TO HALTER FOREVER HOME SANCTUARY INC

Field Data
EIN 82-4185284
Case Number EO-2018068-000234
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COLLAR TO HALTER FOREVER HOME SANCTUARY INC
Organization’s Mailing Address 16785 BEAR DR
City HARRIS
State MO
ZIP 64645
Accounting period End 12
Primary contact name DENNIS GOLDSMITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DENNIS GOLDSMITH
CHAIR
16785 BEAR DR
HARRIS MO 64645

Officer/Director/Trustee Two

ROBIN SUMNER
VICE-CHAIR
1467 GREENCASTLE AVE NW
SWISHER IA 52338

Officer/Director/Trustee Three

WALTER SCHLEY JR
SECRETARY
3834 112TH TERRACE
KANSAS CITY KS 66109

Officer/Director/Trustee Four

JOE KLOCECK
SERGEANT-AT-ARMS
21476 HWY W
MILAN MO 63556

Officer/Director/Trustee Five

PHIL KIRK
TREASURER
4501 BLUFF DR
OAK GROVE MO 64075

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/8/18
Organization Incorporation State MO
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: Yes
Educational: Yes
Scientific: Yes
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DENNIS GOLDSMITH
Signature Title CHAIR
Signature Date 3/7/18

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