FORM 1023-EZ for COOS ANIMAL SANCTUARY

Field Data
EIN 82-3880622
Case Number EO-2018016-000357
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COOS ANIMAL SANCTUARY
Organization’s Mailing Address 1057 US RT 3
City N STRATFORD
State NH
ZIP 3590-6419
Accounting period End 12
Primary contact name SANDRA GREEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SANDRA GREEN
DIRECTOR
1057 US ROUTE 3
N STRATFORD NH 3590-6419

Officer/Director/Trustee Two

DOUGLAS GREEN
DIRECTOR
1057 US ROUTE 3
N STRATFORD NH 3590-6419

Officer/Director/Trustee Three

CODY GREEN
DIRECTOR
1057 US ROUTE 3
N STRATFORD NH 3590-6419

Officer/Director/Trustee Four

CAROL COUTURE
DIRECTOR
1057 US ROUTE 3
N STRATFORD NH 3590-6419

Officer/Director/Trustee Five

KIM KOUBLE MEIKLE
DIRECTOR
1057 US ROUTE 3
N STRATFORD NH 3590-6419

Organization’s website WWW.COOSANIMALS.COM
Organization’s email COOSANIMALS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/2/18
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: No
Religious: No
Educational: Yes
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 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 SANDRA GREEN
Signature Title DIRECTOR
Signature Date 1/11/18

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