FORM 1023-EZ for THE COLRAIN CENTER FOR CONSERVATIONAND WILDLIFE REHABILITATION INC

Field Data
EIN 83-4443301
Case Number EO-2019112-000316
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE COLRAIN CENTER FOR CONSERVATIONAND WILDLIFE REHABILITATION INC
Organization’s Mailing Address 107 HILLMAN RD
City COLRAIN
State MA
ZIP 1340-9162
Accounting period End 12
Primary contact name CEACY HENDERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CEACY HENDERSON
PRESIDENT
107 HILLMAN RD
COLRAIN MA 1340-9612

Officer/Director/Trustee Two

NANCIE RICH
TREASURER/CLERK
107 HILLMAN RD
COLRAIN MA 1340-9612

Officer/Director/Trustee Three

SUSAN KELLY
DIRECTOR
PO BOX 99
WEST HALIFAX VT 5358

Officer/Director/Trustee Four

TUNDI AGARDY
DIRECTOR
26 VAN NUYS RD
COLRAIN MA 1340-9612

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/16/19
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D30 - Wildlife Preservation, Protection
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 CEACY HENDERSON
Signature Title PRESIDENT
Signature Date 4/17/19

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