FORM 1023-EZ for GOATS WITH HORNS ANIMAL SANCTUARY
| Field | Data |
|---|---|
| EIN | 82-3305191 |
| Case Number | EO-2017310-000425 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | GOATS WITH HORNS ANIMAL SANCTUARY |
| Organization’s Mailing Address | 52 E HARRISON ST |
| City | GILBERT |
| State | AZ |
| ZIP | 85295-4888 |
| Accounting period End | 12 |
| Primary contact name | MICHELLE LUKASIEWICZ |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
ALISA VAN ORDER
BOARD OF DIRECTORS
1622 W BROOKS ST
CHANDLER AZ 85224-2643
Officer/Director/Trustee Two
MARK LUKASIEWICZ
BOARD OF DIRECTORS
2146 W ISABELLA AVE APT 206
MESA AZ 85202-5512
Officer/Director/Trustee Three
LISA ROGERS
BOARD OF DIRECTORS
725 N DOBSON RD APT 194
CHANDLER AZ 85224-9107
Officer/Director/Trustee Four
MICHELLE LUKASIEWICZ
BOARD OF DIRECTORS
52 E HARRISON ST
GILBERT AZ 85295-4888
| Organization’s website | NA |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 11/22/2016 |
| Organization Incorporation State | AZ |
| 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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