FORM 1023-EZ for GUINEA PIG SANCTUARY

Field Data
EIN 83-1378251
Case Number EO-2018218-000578
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GUINEA PIG SANCTUARY
Organization’s Mailing Address 32 THORWALD AVENUE
City HAMPTON
State NH
ZIP 3842
Accounting period End 12
Primary contact name KIMIE SMOTHERMON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ELVIN PALACIOS
TREASURER
32 THORWALD AVENUE
HAMPTON NH 3842

Officer/Director/Trustee Two

WANDA MORAN
OFFICER
14 GOLDRUSH LANE
ROCHESTER NH 3868

Officer/Director/Trustee Three

KIMIE SMOTHERMON
DIRECTOR
32 THORWALD AVENUE
HAMPTON NH 3842

Officer/Director/Trustee Four

BAYLIE COWART
SECRETARY
221 LAKE AVENUE
MANCHESTER NH 3103

Officer/Director/Trustee Five

JAMAE LINDSEY
OFFICER
112 GROVELAND STREET
HAVERHILL MA 1830

Organization’s website HTTP://WWW.GUINEAPIGSANCTUARY.ORG
Organization’s email GUINEA-PIG-SANCTUARY@COMCAST.NET
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/15/17
Organization Incorporation State NH
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 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 KIMIE SMOTHERMON
Signature Title DIRECTOR
Signature Date 8/3/18

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