FORM 1023-EZ for BROKEN OAK ANIMAL SANCTUARY AND EDUCATION CENTER

Field Data
EIN 85-0912266
Case Number EO-2020245-000189
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BROKEN OAK ANIMAL SANCTUARY AND EDUCATION CENTER
Organization’s Mailing Address 23191 N RIVER ROAD
City ALVA
State FL
ZIP 33920
Accounting period End 12
Primary contact name MARQUELLE HENDRYX
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARQUELLE HENDRYX
PRESIDENT
23191 N RIVER ROAD
ALVA FL 33920

Officer/Director/Trustee Two

ASHLEY LARUE
VICE PRESIDENT
4611 DOMINION DRIVE
NAPLES FL 34112

Officer/Director/Trustee Three

MARCIE GANN
SECRETARY
7931 MOONSTONE DRIVE 26-202
SARASOTA FL 34233

Officer/Director/Trustee Four

ZECHARIAH HENDRYX
TREASURER
23191 N RIVER ROAD
ALVA FL 33920

Organization’s website
Organization’s email CRAZYGUINEAGAL@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/1/2020
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D99 - Animal-Related N.E.C.
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 MARQUELLE HENDRYX
Signature Title PRESIDENT
Signature Date 8/30/2020

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