FORM 1023-EZ for WILD AND BLUE FARM PET SANCTUARY

Field Data
EIN 82-3054994
Case Number EO-2018016-000577
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WILD AND BLUE FARM PET SANCTUARY
Organization’s Mailing Address 10534 COOK BROTHERS RD
City IJAMSVILLE
State MD
ZIP 21754
Accounting period End 12
Primary contact name TERESA STONE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TERESA STONE
PRESIDENT
10534 COOK BROTHERS RD
IJAMSVILLE MD 21754

Officer/Director/Trustee Two

JOSEPHINE MALLOW
TREASURER
19541 BEALLSVILLE RD
BEALLSVILLE MD 20839

Officer/Director/Trustee Three

CHARLOTTE MALLOW
SECRETARY
19541 BEALLSVILLE RD
BEALLSVILLE MD 20839

Officer/Director/Trustee Four

GREG SODERER
VICE PRESIDENT
10534 COOK BROTHERS RD
IJAMSVILLE MD 21754

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/27/17
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: Yes
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 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 TERESA STONE
Signature Title PRESIDENT
Signature Date 1/14/18

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