FORM 1023-EZ for THE BROKEN ANTLER CORP

Field Data
EIN 85-0539662
Case Number EO-2020147-000211
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE BROKEN ANTLER CORP
Organization’s Mailing Address 39REEVES BAY TRAIL
City FLANDERS
State NY
ZIP 11901
Accounting period End 3
Primary contact name JOSEPH TOKARZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LORRAINE LAMBECK
BOD
REEVES BAY TRAIL
FLANDERS NY 11901-3815

Officer/Director/Trustee Two

JACKLYN M GUASTELLA
SPECIAL OFFICER TRANSPORT RESCUE
UNIT 78 1795 OSBORN AVE
RIVERHEAD NY 11901

Organization’s website
Organization’s email TALION322@OPTONLINE.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/6/2020
Organization Incorporation State NY
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 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 LORRAINE LAMBECK
Signature Title BOD
Signature Date 5/21/2020

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