FORM 1023-EZ for AMAZING GRACE ANIMAL SANCTUARY

Field Data
EIN 81-4757878
Case Number EO-2018346-000196
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name AMAZING GRACE ANIMAL SANCTUARY
Organization’s Mailing Address 161 CENTRE STREET
City SULLIVAN
State NH
ZIP 3445
Accounting period End 12
Primary contact name DARYL WATTERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DARYL WATTERSON
PRESIDENT
161 CENTRE STREET
SULLIVAN NH 3445

Officer/Director/Trustee Two

DONNA WATTERSON
VICE PRESIDENT
161 CENTRE STREET
SULLIVAN NH 3445

Officer/Director/Trustee Three

DIANE REGAN
SECRETARY
10 LINCOLN STREET
NEWBURYPORT MA 1950

Officer/Director/Trustee Four

PAUL STEWART
TREASURER
121 OLD SWANZEY ROAD
SPOFFORD NH 3462

Officer/Director/Trustee Five

DONNA DEARTH
DIRECTOR
ROUTE 12A
KEENE NH 3431

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/30/18
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: Yes
Educational: Yes
Scientific: Yes
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 DARYL WATTERSON
Signature Title PRESIDENT
Signature Date 12/10/18

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