FORM 1023-EZ for ATHENAS WILDLIFE SANCTUARY

Field Data
EIN 85-2530648
Case Number EO-2021102-001095
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ATHENAS WILDLIFE SANCTUARY
Organization’s Mailing Address 17022 BUDOWSKI RD
City BROOKSVILLE
State FL
ZIP 34614
Accounting period End 12
Primary contact name SHERRI SHELLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHERRI SHELLEY
DIRECTOR
17022 BUDOWSKI RD
BROOKSVILLE FL 34614

Officer/Director/Trustee Two

BREEAFTON SEABURY
VP
17022 BUDOWSKI RD
BROOKSVILLE FL 34614

Officer/Director/Trustee Three

BRADFORD SEABURY
TREASURER
17022 BUDOWSKI RD
BROOKSVILLE FL 34614

Officer/Director/Trustee Four

BARBARA VAN KIRK
SECRETARY
17022 BUDOWSKI RD
BROOKSVILLE FL 34614

Organization’s website
Organization’s email ATHENASWILDLIFESANCTUARY@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/2/2021
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D30 - Wildlife Preservation, Protection
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 SHERRI SHELLEY
Signature Title DIRECTOR
Signature Date 4/5/2021

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