FORM 1023-EZ for BLACK SHEEP SANCTUARY AND RETREAT INC

Field Data
EIN 87-0932267
Case Number EO-2021165-000148
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLACK SHEEP SANCTUARY AND RETREAT INC
Organization’s Mailing Address 345 MADISON ST
City SAG HARBOR
State NY
ZIP 11963
Accounting period End 12
Primary contact name BONNIE KLAPPER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BONNIE KLAPPER
DIRECTOR
345 MADISON ST NY
SAG HARBOR NY 11963

Officer/Director/Trustee Two

AMANDA LENORE WASHBURN
DIRECTOR
43 BYRON BLVD
WARWICK RI 02888

Officer/Director/Trustee Three

MARY ANN DUGAN
DIRECTOR
43 BYRON BLVD
WARWICK RI 02888

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/18/2021
Organization Incorporation State NY
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 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 BONNIE KLAPPER
Signature Title DIRECTOR
Signature Date 6/10/2021

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