FORM 1023-EZ for CAMP ZABU SANCTUARY

Field Data
EIN 81-5199492
Case Number EO-2017034-000312
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CAMP ZABU SANCTUARY
Organization’s Mailing Address 4517 RT 36
City PLEASANTVILLE
State PA
ZIP 16341
Accounting period End 12
Primary contact name SHELLY GIROSKI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHELLY GIROSKI
DIRECTOR
4517 ROUTE 36
PLEASANTVILLE PA 16341

Officer/Director/Trustee Two

EVELYN THOMAS
BOARD MEMBER
2330 W 9TH ST
ASHTABULA OH 44004

Officer/Director/Trustee Three

SUSAN THOMAS
BOARD MEMBER
1737 W 9TH ST
ASHTABULA OH 44004

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/8/2016
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 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 Yes
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
Signature Title
Signature Date

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