FORM 1023-EZ for EVERGREEN FARM AND ANIMAL SANCTUARY
| Field | Data |
|---|---|
| EIN | 83-3968266 |
| Case Number | EO-2019084-000422 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | EVERGREEN FARM AND ANIMAL SANCTUARY |
| Organization’s Mailing Address | 15115 NW GILLIHAN RD |
| City | PORTLAND |
| State | OR |
| ZIP | 97231 |
| Accounting period End | 12 |
| Primary contact name | OLIVIA LENOX |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
OLIVIA LENOX
PRESIDENT
15115 NW GILLIHAN RD
PORTLAND OR 97231
Officer/Director/Trustee Two
JENNIFER SERNA
VICE PRESIDENT
15115 NW GILLIHAN RD
PORTLAND OR 97231
Officer/Director/Trustee Three
NICOLLE DIRKS
SECRETARY
410 NE 28TH AVE
PORTLAND OR 97232
Officer/Director/Trustee Four
MADELINE ROSSI
TREASURER
7316 N LOMBARD ST
PORTLAND OR 97203
Officer/Director/Trustee Five
SARAH VANTILBURG
DIRECTOR
911 N TERRY ST
PORTLAND OR 97217
| Organization’s website | EVERGREENFARMSANCTUARY.ORG |
|---|---|
| Organization’s email | EVERGREENFARMSANCTUARY@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 3/14/19 |
| Organization Incorporation State | OR |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | D99 - Animal-Related N.E.C. |
| 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 | 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 | 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 | OLIVIA LENOX |
| Signature Title | PRESIDENT |
| Signature Date | 3/21/19 |
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