FORM 1023-EZ for AMPHIBIAN AND REPTILE TRUST INTERNATIONAL INC

Field Data
EIN 84-4959638
Case Number EO-2020128-000181
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name AMPHIBIAN AND REPTILE TRUST INTERNATIONAL INC
Organization’s Mailing Address POBOX 557
City GARDNER
State MA
ZIP 01440-9998
Accounting period End 6
Primary contact name ANDREW MACKIE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANDREW MACKIE
PRESIDENT / DIRECTOR
12805 COYOTE VALLEY ROAD
SALIDA CO 81201

Officer/Director/Trustee Two

SALLY WATERHOUSE
VICE PRESIDENT / DIRECTOR
13623 COUNTY ROAD 261 L
NATHROP CO 81236

Officer/Director/Trustee Three

BRUCE FULMER
TREASURER / DIRECTOR
8 MOUNTAIN VIEW TERRACE
BALLSTON LAKE NY 12019

Officer/Director/Trustee Four

ANN DUKETT
CLERK / DIRECTOR
30 ALLEN ST
GARDNER MA 01440

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/2/2020
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D30 - Wildlife Preservation, Protection
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 Yes
Financial transactions with officers Yes
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 ANDREW MACKIE
Signature Title PRESIDENT / DIRECTOR
Signature Date 5/5/2020

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