FORM 1023-EZ for LAST CHANCE FARM SANCTUARY

Field Data
EIN 46-4106804
Case Number EO-2014239-000218
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LAST CHANCE FARM SANCTUARY
Organization’s Mailing Address 768 LEE VALLEY ROAD
City WHITESBURG
State TN
ZIP 37891
Accounting period End 12
Primary contact name JAN WISE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JAN WISE
PRESIDENT/TREASURER
768 LEE VALLEY RD
WHITESBURG TN 37891

Officer/Director/Trustee Two

GLYNN KRUGER
SECRETARY
5100 HWY 66
ROGERSVILLE TN 37857

Officer/Director/Trustee Three

CHRISTIAN LAPP
VICE PRESIDENT
1508 DEANNE DRIVE
BEAUFORT SC 29902

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/2014
Organization Incorporation State TN
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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