FORM 1023-EZ for SURFIN SATO INC

Field Data
EIN 82-2943299
Case Number EO-2017292-000269
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SURFIN SATO INC
Organization’s Mailing Address 970 NEW BOSTON ROAD
City NORWICH
State VT
ZIP 05055
Accounting period End 12
Primary contact name AIMEE GOODWIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AIMEE GOODWIN
EXECUTIVE DIRECTOR
970 NEW BOSTON ROAD
NORWICH VT 05055

Officer/Director/Trustee Two

MICHELLE GOTTLIEB
ASSOCIATE DIRECTOR
112 BRADLEY HILL ROAD
NORWICH VT 05055

Officer/Director/Trustee Three

ELLEN KITCHEL
SECRETARY
641 BRADLEY HILL ROAD
NORWICH VT 05055

Officer/Director/Trustee Four

KIRSTEN ELIN
TREASURER
12 KINGSFORD ROAD
HANOVER NH 03755

Organization’s website WWW.SURFINSATO.ORG
Organization’s email AIMEE@SURFINSATO.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/28/2017
Organization Incorporation State VT
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: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
Donation of funds Yes
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 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
Signature Title
Signature Date

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