FORM 1023-EZ for HOME AT LAST FARM

Field Data
EIN 83-1916371
Case Number EO-2018323-000642
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HOME AT LAST FARM
Organization’s Mailing Address 34 MOUNTAIN ROAD
City RAYMOND
State NH
ZIP 3077
Accounting period End 12
Primary contact name ALEXANDRA CHIPMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALEXANDRA CHIPMAN
PRESIDENT
34 MOUNTAIN ROAD
RAYMOND NH 3077

Officer/Director/Trustee Two

CARLY NEILSON
SECRETARY
180 MITCHELL RD
NOTTINGHAM NH 3290

Officer/Director/Trustee Three

NATALIE KING
TREASURER
16 ROYALL STREET
MEDFORD MA 2155

Officer/Director/Trustee Four

COLLEEN ROSENTHAL
BOARD MEMBER
162 GILE RD
NOTTINGHAM NH 3290

Officer/Director/Trustee Five

SARAH BASSETT
BOARD MEMBER
15 RICHARD CT
RAYMOND NH 3077

Organization’s website WWW.HOMEATLASTFARM.ORG
Organization’s email HOMEATLASTFARMRESCUE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/11/18
Organization Incorporation State NH
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: Yes
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 ALEXANDRA CHIPMAN
Signature Title PRESIDENT
Signature Date 11/17/18

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