FORM 1023-EZ for CLOVEN HOOF FARM AND SANCTUARY

Field Data
EIN 83-0902083
Case Number EO-2018288-000623
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CLOVEN HOOF FARM AND SANCTUARY
Organization’s Mailing Address 4565 PRESSLEY ROAD
City SANTA ROSA
State CA
ZIP 95404
Accounting period End 12
Primary contact name NICHOLA SCHMITZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NICHOLA SCHMITZ
DIRECTOR
4565 PRESSLEY ROAD
SANTA ROSA CA 95404

Organization’s website
Organization’s email
Organization Incorporated
Organization trust Yes
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/18
Organization Incorporation State CA
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 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name NICHOLA SCHMITZ
Signature Title DIRECTOR
Signature Date 10/13/18

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