FORM 1023-EZ for WILLOWBROOK FARMS ANIMAL SANCTUARY INC

Field Data
EIN 82-5041052
Case Number EO-2018106-000854
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WILLOWBROOK FARMS ANIMAL SANCTUARY INC
Organization’s Mailing Address 448 S 4TH ST
City CLINTON
State IN
ZIP 47842
Accounting period End 12
Primary contact name CRYSTAL PORTER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CRYSTAL PORTER
PRESIDENT
53 ADLOFF LANE
SPRINGFIELD IL 62703

Officer/Director/Trustee Two

BRIAN GRIFFIN
VICE PRESIDENT
448 S 4TH ST
CLINTON IN 47842

Officer/Director/Trustee Three

TRACY GRIFFIN
TREASURER
448 S 4TH ST
CLINTON IN 47842

Officer/Director/Trustee Four

MATTHEW PORTER
SECRETARY
53 ADLOFF LANE
SPRINGFIELD IL 62703

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/3/18
Organization Incorporation State IN
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: No
Religious: No
Educational: No
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 Yes
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 BRIAN GRIFFIN
Signature Title VICE PRESIDENT
Signature Date 4/3/18

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