FORM 1023-EZ for FOREVERLAND FARM

Field Data
EIN 82-5407175
Case Number EO-2018128-000834
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FOREVERLAND FARM
Organization’s Mailing Address 2885 LINDALE MOUNT HOLLY RD
City AMELIA
State OH
ZIP 45102
Accounting period End 12
Primary contact name BRITTNEY KANE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRITTNEY KANE
EXECUTIVE DIRECTOR
2885 LINDALE MOUNT HOLLY RD
AMELIA OH 45102

Officer/Director/Trustee Two

LEANN KANE
BOARD PRESIDENT
2885 LINDALE MOUNT HOLLY RD
AMELIA OH 45102

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/23/18
Organization Incorporation State OH
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 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 BRITTNEY KANE
Signature Title EXECUTIVE DIRECTOR
Signature Date 5/2/18

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