FORM 1023-EZ for ACHIN BACK ACRES RANCH AND ANIMAL SANCTUARY INC

Field Data
EIN 82-1902425
Case Number EO-2017307-000150
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ACHIN BACK ACRES RANCH AND ANIMAL SANCTUARY INC
Organization’s Mailing Address 14897 SKOG ROAD
City GRANTSBURG
State WI
ZIP 54840-8374
Accounting period End 12
Primary contact name ROBIN SCHMIDT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBIN SCHMIDT
PRESIDENT
14897 SKOG ROAD
GRANTSBURG WI 54840-8374

Officer/Director/Trustee Two

DAVID SCHMIDT
TREASURER
14897 SKOG ROAD
GRANTSBURG WI 54840-8374

Officer/Director/Trustee Three

TAMMY CASSAVANT-STREY
SECRETARY
1145 212TH AVENUE
NEW RICHMOND WI 54017-6254

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/2/2017
Organization Incorporation State WI
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 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
Signature Title
Signature Date

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