FORM 1023-EZ for MARYS FARM SANCTUARY INC

Field Data
EIN 81-4749266
Case Number EO-2017067-000368
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MARYS FARM SANCTUARY INC
Organization’s Mailing Address 5630 WAPELLO AVE SE
City LONE TREE
State IA
ZIP 52755-9775
Accounting period End 12
Primary contact name MARY DYROFF
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARY DYROFF
PRESIDENT/SECRETARY
5630 WAPELLO AVE SE
LONE TREE IA 52755-9775

Officer/Director/Trustee Two

CINDY TRACZ
TREASURER
561 LONGVUE DR
NEW KENSINGTON PA 15068-5821

Officer/Director/Trustee Three

BARBARA WAGNER
DIRECTOR
90 CIRCLE DR NUMBER 3
NORTH LIBERTY IA 52317-8808

Officer/Director/Trustee Four

JAMES SLAUGHTER
DIRECTOR
104 BRADY ST
HILLS IA 52235-7722

Organization’s website HTTPS://WWW.FACEBOOK.COM/MARYSFARMSANCTUARY/?REF=AYMT_HOMEPAGE_PANEL
Organization’s email MARYSFARMSANCTUARY@OUTLOOK.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/8/2016
Organization Incorporation State IA
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 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
Signature Title
Signature Date

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