FORM 1023-EZ for TWENTY-TWO FARMS ANIMAL SANCTUARY INC

Field Data
EIN 84-4813926
Case Number EO-2020181-000184
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TWENTY-TWO FARMS ANIMAL SANCTUARY INC
Organization’s Mailing Address 2022 HWY 12
City BALDWIN
State WI
ZIP 54002
Accounting period End 12
Primary contact name SARAH VEENENDALL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHRISTOPHER MIZELL
PRESIDENT/BOARD MBR/DIRECTOR (1
2022 HWY 12
BALDWIN WI 54002

Officer/Director/Trustee Two

GINA ALBERTI
TREAS/SEC/BOARD MBR/DIRECTOR
2022 HWY 12
BALDWIN WI 54002

Officer/Director/Trustee Three

ETHAN HARMS
BOARD MEMBER/ DIRECTOR (3)
504 CHAPEL COURT
EAGAN MN 55122

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/5/2020
Organization Incorporation State WI
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 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 CHRISTOPHER MIZELL
Signature Title PRESIDENT/BOARD MBR/DIRECTOR (1
Signature Date 6/25/2020

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