FORM 1023-EZ for GOING BROKE FARM

Field Data
EIN 86-3641274
Case Number EO-2021133-000215
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GOING BROKE FARM
Organization’s Mailing Address 410 WASSERGASS RD
City HELLERTOWN
State PA
ZIP 18055
Accounting period End 1
Primary contact name ROBERT COX
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBERT COX
PRESIDENT
410 WASSERGASS RD
HELLERTOWN PA 18055

Officer/Director/Trustee Two

LORI COX
VICE PRESIDENT
410 WASSERGASS RD
HELLERTOWN PA 18055

Organization’s website
Organization’s email JUNOSTAR09@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/4/2021
Organization Incorporation State PA
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 Yes
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 ROBERT COX
Signature Title PRESIDENT
Signature Date 5/11/2021

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