FORM 1023-EZ for CROSSOVER FARM INC

Field Data
EIN 84-1850965
Case Number EO-2019183-000033
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CROSSOVER FARM INC
Organization’s Mailing Address 17217 TANGERINE BLVD
City LOXAHATCHEE
State FL
ZIP 33470
Accounting period End 12
Primary contact name ROBIN JOHNSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBIN JOHNSON
PRESIDENT
17217 TANGERINE BLVD
LOXAHATCHEE FL 33470

Officer/Director/Trustee Two

PAULA JOHNSON
VICE PRESIDENT
11214 MONET RIDGE ROAD
PALM BEACH GARDENS FL 33410

Organization’s website WWW.CROSSOVERFARM.NET
Organization’s email COFHORSERESCUE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/15/19
Organization Incorporation State FL
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: No
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ROBIN JOHNSON
Signature Title PRESIDENT
Signature Date 6/28/19

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