FORM 1023-EZ for TRAVELLERS REST FARM SANCTUARY

Field Data
EIN 83-4531103
Case Number EO-2019121-000131
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TRAVELLERS REST FARM SANCTUARY
Organization’s Mailing Address 7450 EMORY PLACE
City HUGHESVILLE
State MD
ZIP 20637
Accounting period End 12
Primary contact name BETH KOKORUDA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BETH KOKORUDA
PRESIDENT
7450 EMORY PLACE
HUGHESVILLE MD 20637

Officer/Director/Trustee Two

KRISTIN CUSHEN
SECRETARY
2741 DEER BERRY CT
LONGWOOD FL 32779

Officer/Director/Trustee Three

JAKE HINZ
TREASURER
7450 EMORY PLACE
HUGHESVILLE MD 20637

Organization’s website
Organization’s email B_KOKORUDA@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/29/19
Organization Incorporation State MD
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: No
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 No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
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 BETH KOKORUDA
Signature Title PRESIDENT
Signature Date 4/29/19

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