FORM 1023-EZ for ANIMAL UNFARM

Field Data
EIN 83-4310069
Case Number EO-2019112-000285
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ANIMAL UNFARM
Organization’s Mailing Address 4318 HERMAN RD SE
City OLYMPIA
State WA
ZIP 98501
Accounting period End 12
Primary contact name AMOREENA BURGGREN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AMOREENA BURGGREN
PRESIDENT
4318 HERMAN RD SE
OLYMPIA WA 98501

Officer/Director/Trustee Two

BLAIR BURGGREN
SECRETARY
4318 HERMAN RD SE
OLYMPIA WA 98501

Officer/Director/Trustee Three

AVERY HACKSTEDDE
TREASURER
1221 1ST AVE
SEATTLE WA 98101

Organization’s website
Organization’s email ANIMALUNFARM@COMCAST.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/13/17
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D40 - Veterinary Services
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 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 AMOREENA BURGGREN
Signature Title PRESIDENT
Signature Date 4/17/19

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