FORM 1023-EZ for TOMTEN FARM SANCTUARY OF NEW HAMPSHIRE

Field Data
EIN 81-1575789
Case Number EO-2016123-000334
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TOMTEN FARM SANCTUARY OF NEW HAMPSHIRE
Organization’s Mailing Address PO BOX 85
City HAVERHILL
State NH
ZIP 03765-5419
Accounting period End 10
Primary contact name FREDERICK J COOLBROTH JR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JENIFER VICKERY
PRESIDENT, DIRECTOR
PO BOX 85 929 COURT STREET
HAVERHILL NH 03765-5419

Officer/Director/Trustee Two

SARAH HOLZER
SENIOR VICE PRESIDENT, DIRECTOR
PO BOX 85 929 COURT STREET
HAVERHILL NH 03765-5419

Officer/Director/Trustee Three

MICHELE DEVEREAUX
VICE PRESIDENT, DIRECTOR
PO BOX 85 929 COURT STREET
HAVERHILL NH 03765-5419

Officer/Director/Trustee Four

CHRISTINE PETERS
TREASURER, DIRECTOR
PO BOX 85 929 COURT STREET
HAVERHILL NH 03765-5419

Officer/Director/Trustee Five

LAIMA WHITTY
CLERK/SECRETARY, DIRECTOR
PO BOX 85 929 COURT STREET
HAVERHILL NH 03765-5419

Organization’s website
Organization’s email RESCUE@TOMTENFARMANDSANCTUARY.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/16/2015
Organization Incorporation State NH
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 Yes
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
Signature Title
Signature Date

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