FORM 1023-EZ for CLOA S ARK ANIMAL SANCTUARY

Field Data
EIN 90-0529134
Case Number EO-2015222-000269
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CLOA S ARK ANIMAL SANCTUARY
Organization’s Mailing Address 24 FACTORY HOLLOW
City GREENFIELD
State MA
ZIP 01301
Accounting period End 12
Primary contact name PATRICK VEISTROFFER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

PATRICK VEISTROFFER
PRESIDENT
24 FACTORY HOLLOW
GREENFIELD MA 01301

Officer/Director/Trustee Two

CLAUDINE VEISTROFFER
TREASURER
24 FACTORY HOLLOW
GREENFIELD MA 01301

Officer/Director/Trustee Three

TARANEH SATVAT
CLERK DIRECTOR
3 LOUIS FARLEY DRIVE
FRAMINGHAM MA 01701

Officer/Director/Trustee Four

THEODORE LAPERLE
DIRECTOR
240 WATER STREET
FITCHBURG MA 01420

Organization’s website WWW.CLOARK.COM
Organization’s email PATRICK@CLOARK.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/7/2009
Organization Incorporation State MA
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 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
Signature Title
Signature Date

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