FORM 1023-EZ for FULL BELLY FARM ANIMAL SANCTUARY

Field Data
EIN 85-3959319
Case Number EO-2021092-000870
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FULL BELLY FARM ANIMAL SANCTUARY
Organization’s Mailing Address 375 COUNTY ROAD 472
City LEXINGTON
State AL
ZIP 35648
Accounting period End 12
Primary contact name AMBER JACKSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AMBER JACKSON
PRESIDENT
375 COUNTY RD 472
LEXINGTON AL 35648-4649

Officer/Director/Trustee Two

CATHY TUCKER
DIRECTOR
1816 HERMITAGE DR
FLORENCE AL 35630-2520

Officer/Director/Trustee Three

SHERRY JOHNSON
SECRETARY
2005 OAK DR
MUSCLE SHOALS AL 35661-2931

Officer/Director/Trustee Four

AMANDA CHADWELL
TREASURER
456 FRANCIS AVE
FLORENCE AL 35630-2311

Organization’s website
Organization’s email FULLBELLYFARMSANCTUARY@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/2020
Organization Incorporation State AL
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 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 AMBER JACKSON
Signature Title PRESIDENT
Signature Date 3/2/2021

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