FORM 1023-EZ for MAZOLU ANIMAL SANCTUARY INC

Field Data
EIN 86-1638816
Case Number EO-2021089-001163
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MAZOLU ANIMAL SANCTUARY INC
Organization’s Mailing Address 215 MAIN STREET
City SOUTH WINDSOR
State CT
ZIP 06074
Accounting period End 12
Primary contact name JESSICA WATERHOUSE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JESSICA WATERHOUSE
PRESIDENT / DIRECTOR
215 MAIN STREET
SOUTH WINDSOR CT 06074

Officer/Director/Trustee Two

MARILYN SHIMELD
VICE PRESIDENT / DIRECTOR
201 REAGAN ROAD UNIT 5B
VERNON CT 06074

Officer/Director/Trustee Three

ARTHUR ADDUCCI
SECRETARY / DIRECTOR
30 HENRY DRIVE
SOUTH WINDSOR CT 06074

Officer/Director/Trustee Four

QUENTIN JOHNSON
TREASURER / DIRECTOR
85 WOODLAND AVE
BLOOMFIELD CT 06002

Officer/Director/Trustee Five

JACOB WATERHOUSE
DIRECTOR
215 MAIN STREET
SOUTH WINDSOR CT 06074

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/19/2021
Organization Incorporation State CT
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 JESSICA WATERHOUSE
Signature Title PRESIDENT / DIRECTOR
Signature Date 2/15/2021

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