FORM 1023-EZ for PEAUX FARM ANIMAL RESCUE

Field Data
EIN 82-0882705
Case Number EO-2017277-000145
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PEAUX FARM ANIMAL RESCUE
Organization’s Mailing Address 4611 POINTE AUX PEAUX
City NEWPORT
State MI
ZIP 48166
Accounting period End 12
Primary contact name DENISE LOCKARD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DENISE LOCKARD
CFO
4611 POINTE AUX PEAUX
NEWPORT MI 48166-9519

Officer/Director/Trustee Two

BRITTANY OSBURN
CEO
9321 WATERLILY CT 703
FT. MYERS MI 33919

Officer/Director/Trustee Three

JEREMY OSBURN
OPERATIONS MANAGER, TRANSPORTATION
30673 TRIANGLE DR
ROCKWOOD MI 48173

Officer/Director/Trustee Four

JEFF LOCKARD
ADOPTION MANAGER
4611 POINTE AUX PEAUX
NEWPORT MI 48166

Officer/Director/Trustee Five

NONE NONE
NONE
NONE
NONE AA 99999

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/27/2016
Organization Incorporation State MI
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 Yes
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
Signature Title
Signature Date

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