FORM 1023-EZ for NAHIMANA FOREST ANIMAL SANCTUARY

Field Data
EIN 84-1773882
Case Number EO-2020049-000226
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NAHIMANA FOREST ANIMAL SANCTUARY
Organization’s Mailing Address 1404 LAUREL CREEK ROAD EXTENSION
City TODD
State NC
ZIP 28684
Accounting period End 12
Primary contact name AMBER RICHARDSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AMBER RICHARDSON
DIRECTOR
1404 LAUREL CREEK ROAD EXTENSION
TODD NC 28684

Officer/Director/Trustee Two

SEAN DOLAN
SECRETARY & TREASURER
1404 LAUREL CREEK ROAD EXTENSION
TODD NC 28684

Organization’s website WWW.NAHIMANAFOREST.ORG
Organization’s email AMBER@NAHIMANAFOREST.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/16/2018
Organization Incorporation State NC
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 SEAN DOLAN
Signature Title SECRETARY & TREASURER
Signature Date 2/13/2020

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