FORM 1023-EZ for WILD WEST FARMS ANIMAL REFUGE INC

Field Data
EIN 84-2559958
Case Number EO-2019290-000267
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WILD WEST FARMS ANIMAL REFUGE INC
Organization’s Mailing Address 54 YAPHANK MIDDLE ISLAND RD
City MIDDLE ISLAND
State NY
ZIP 11953
Accounting period End 12
Primary contact name LORI WEST
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LORI WEST
BOARD MEMBER
54 YAPHANK MIDDLE ISLAND RD
MIDDLE ISLAND NY 11953

Officer/Director/Trustee Two

ROBERT WEST
BOARD MEMBER
54 YAPHANK MIDDLE ISLAND RD
MIDDLE ISLAND NY 11953

Officer/Director/Trustee Three

PATRICIA WEST
BOARD MEMBER
33 N COLEMAN RD
CENTEREACH NY 11720

Organization’s website
Organization’s email WILDWESTFARMS1@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/14/19
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D34 - Wildlife Sanctuary, Refuge
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 LORI WEST
Signature Title BOARD MEMBER
Signature Date 10/15/19

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