FORM 1023-EZ for BROKEN SHOVELS FARM AND SANCTUARY SCHOOL INC

Field Data
EIN 82-2424941
Case Number EO-2018183-000447
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BROKEN SHOVELS FARM AND SANCTUARY SCHOOL INC
Organization’s Mailing Address 8640 DAHLIA ST
City HENDERSON
State CO
ZIP 80640
Accounting period End 12
Primary contact name ANDREA DAVIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANDREA DAVIS
CHAIRPERSON
8640 DAHLIA ST
HENDERSON CO 80640

Officer/Director/Trustee Two

AMBER HEINE
TREASURER
8640 DAHLIA ST
HENDERSON CO 80640

Officer/Director/Trustee Three

CARI SCHWEITZER
SECRETARY
1701 31ST ST
DENVER CO 80216

Organization’s website WWW.BROKENSHOVELS.COM
Organization’s email BROKENSHOVELS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/28/17
Organization Incorporation State CO
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: 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 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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ANDREA DAVIS
Signature Title CHAIRPERSON
Signature Date 6/30/18

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