FORM 1023-EZ for SUMNER BROOK FARM INC

Field Data
EIN 82-3698445
Case Number EO-2018288-000386
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SUMNER BROOK FARM INC
Organization’s Mailing Address 874 MILLBROOK ROAD
City MIDDLETOWN
State CT
ZIP 6457
Accounting period End 12
Primary contact name RAYMOND ANDERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AMY GARDNER ANDERSON
EXECUTIVE DIRECTOR
8 DEPOT HILL ROAD
COBALT CT 6414

Officer/Director/Trustee Two

RAYMOND ANDERSON
TREASURER
83 ABBEY ROAD
EAST HAMPTON CT 6424-2102

Officer/Director/Trustee Three

SARA JANE BARRETT
DIRECTOR
144 GRAPEVINE ROAD
HIGGANUM CT 6441

Officer/Director/Trustee Four

JILL BONNIN
DIRECTOR
3007 NE - 45TH AVENUE
PORTLAND OR 97213-1116

Officer/Director/Trustee Five

DIANE KALLAUGHER
DIRECTOR
108 RED GLEN ROAD
MIDDLETOWN CT 6457-4975

Organization’s website N/A
Organization’s email SUMNERBROOKFARM@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/12/17
Organization Incorporation State CT
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: No
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 RAYMOND ANDERSON
Signature Title TREASURER
Signature Date 10/11/18

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