FORM 1023-EZ for DARK MOUNTAIN SANCTUARY INC

Field Data
EIN 83-2505180
Case Number EO-2019029-000382
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DARK MOUNTAIN SANCTUARY INC
Organization’s Mailing Address 139 HOLLY STREET
City BLACK MOUNTAIN
State NC
ZIP 28711
Accounting period End 12
Primary contact name JEWEL STRAIGHTEDGE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEWEL STRAIGHTEDGE
PRESIDENT
PO BOX 1334
BLACK MOUNTAIN NC 28711

Officer/Director/Trustee Two

ELIZABETH PACHAUD
DIRECTOR
PO BOX 1334
BLACK MOUNTAIN NC 28711

Officer/Director/Trustee Three

KYLEE NOWELL
DIRECTOR
PO BOX 1334
BLACK MOUNTAIN NC 28711

Officer/Director/Trustee Four

ITZHAK BISHBURG
DIRECTOR
PO BOX 1334
BLACK MOUNTAIN NC 28711

Officer/Director/Trustee Five

MARK MILLER
DIRECTOR
PO BOX 1334
BLACK MOUNTAIN NC 28711

Organization’s website DARKMOUNTAINSANCTUARY.COM
Organization’s email DARKMOUNTAINSANCTUARY@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/9/18
Organization Incorporation State NC
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: No
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 JEWEL STRAIGHTEDGE
Signature Title PRESIDENT
Signature Date 12/17/18

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