FORM 1023-EZ for ROXIES PLACE ANIMAL SANCTUARY

Field Data
EIN 84-3361235
Case Number EO-2019291-000249
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ROXIES PLACE ANIMAL SANCTUARY
Organization’s Mailing Address 375 RAINS CR 1430
City POINT
State TX
ZIP 75472
Accounting period End 12
Primary contact name ELIZABETH GIRARD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ELIZABETH GIRARD
PRESIDENT/BOARD MEMBER
375 RAINS CR 1430
POINT TX 75472

Officer/Director/Trustee Two

EDWIN CARR
BOARD MEMBER
88 S MAIN ST
COHASSET MA 2025

Officer/Director/Trustee Three

TERESA KOEHLER
BOARD MEMBER
6912 SHALIMAR CT
COLLEYVILLE TX 76034

Organization’s website
Organization’s email ROXIESPLACEANIMALSANCTUARY@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/16/19
Organization Incorporation State TX
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: Yes
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 Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
Gaming Activity No
Disaster relief assistance Yes
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 ELIZABETH GIRARD
Signature Title PRESIDENT/BOARD MEMBER
Signature Date 10/16/19

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