FORM 1023-EZ for BEASTLY BEAUTIES FARM ANIMAL RESCUEINC

Field Data
EIN 82-1963263
Case Number EO-2017261-000140
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BEASTLY BEAUTIES FARM ANIMAL RESCUEINC
Organization’s Mailing Address 11044 SR 674
City WIMAUMA
State FL
ZIP 33598-6491
Accounting period End 12
Primary contact name BRANDY ERCOLINA-LEWIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRANDY ERCOLINA-LEWIS
DIRECTOR
11044 SR 674
WIMAUMA FL 33598-6491

Officer/Director/Trustee Two

STEPHEN LEWIS
DIRECTOR
11044 SR 674
WIMAUMA FL 33598-6491

Officer/Director/Trustee Three

CAROLE GUDZINSKI
SECRETARY
3415 BLOWING OAK STREET
VALRICO FL 33596-6218

Officer/Director/Trustee Four

GAVIN LEWIS
TREASURER
11044 SR 674
WIMAUMA FL 33598-6491

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/22/2017
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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