FORM 1023-EZ for WARREN PRAIRIE SANCTUARY INC

Field Data
EIN 85-0774507
Case Number EO-2020218-000346
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WARREN PRAIRIE SANCTUARY INC
Organization’s Mailing Address 3781 N 50 W
City WILLIAMSPORT
State IN
ZIP 47993-8070
Accounting period End 12
Primary contact name JENNIFER HIGGINBOTTOM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DANA GOODMAN
PRESIDENT
3781 N 50 W
WILLIAMSPORT IN 47993-8070

Officer/Director/Trustee Two

HUNT WILEY
SECRETARY
518 HOGBACK HILL RD
WILLIAMSPORT IN 47993-8089

Officer/Director/Trustee Three

JENNIFER HIGGINBOTTOM
TREASURER
1001 DIGBY DR
LAFAYETTE IN 47905-1106

Officer/Director/Trustee Four

KAREN ATCHESON
DIRECTOR
4021 SOLDIERS HOME RD
WEST LAFAYETTE IN 47906-9757

Officer/Director/Trustee Five

RICHARD FUDGE
DIRECTOR
106 MAIN ST
BATTLE GROUND IN 47920-9755

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/20/2020
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X99 - Religion Related, Spiritual Development N.E.C.
Organization’s purpose Charitable: Yes
Religious: Yes
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JENNIFER HIGGINBOTTOM
Signature Title TREASURER
Signature Date 8/3/2020

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