FORM 1023-EZ for HARMONY HILL FARM SANCTUARY

Field Data
EIN 84-2609049
Case Number EO-2019219-000202
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HARMONY HILL FARM SANCTUARY
Organization’s Mailing Address 3091 SOUTH HARMONY RD
City OREGON
State IL
ZIP 61061
Accounting period End 12
Primary contact name LAURA JOHNSON DOUGLASS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LAURA JOHNSON DOUGLASS
PRESIDENT
3091 SOUTH HARMONY RD
OREGON ID 61061

Officer/Director/Trustee Two

HELEN JOHNSON
CHAIRMAN
541 UNION RD
BROOKLYN WI 53521

Officer/Director/Trustee Three

JUNE ROUSH
DIRECTOR
5410 HERON TRAIL
MIDDLETON WI 53562

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/17/19
Organization Incorporation State IL
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 Yes
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 LAURA JOHNSON DOUGLASS
Signature Title PRESIDENT
Signature Date 8/5/19

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