FORM 1023-EZ for SANCTUARY OF OHIO ANIMAL RESCUE

Field Data
EIN 82-4058490
Case Number EO-2018136-000037
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SANCTUARY OF OHIO ANIMAL RESCUE
Organization’s Mailing Address 7067 EDWARDSVILLE RD
City BLANCHESTER
State OH
ZIP 45107
Accounting period End 12
Primary contact name CHANEL STOUT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHANEL STOUT
DIRECTOR
7067 EDWARDSVILLE RD
BLANCHESTER OH 45107

Officer/Director/Trustee Two

ROBERT STOUT
TREASURER
7067 EDWARDSVILLE RD
BLANCHESTER OH 45107

Officer/Director/Trustee Three

LISA WORTHINGTON
SECRETARY
1785 JONES FLORER RD
BETHEL OH 45120

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/7/18
Organization Incorporation State OH
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 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name CHANEL STOUT
Signature Title DIRECTOR
Signature Date 5/13/18

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