FORM 1023-EZ for THE PHOENIX EFFECT DEATH ROW RESCUE

Field Data
EIN 83-4676706
Case Number EO-2019154-000170
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE PHOENIX EFFECT DEATH ROW RESCUE
Organization’s Mailing Address 17737 S LEWELING RD
City SCRANTON
State KS
ZIP 66537
Accounting period End 12
Primary contact name NICOLE BODE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NICOLE BODE
PRESIDENT
17737 S LEWELING RD
SCRANTON KS 66537

Officer/Director/Trustee Two

JENNIFER MUNSON
VICE PRESIDENT
430 W BURT
LINCOLN NE 68521

Officer/Director/Trustee Three

SARA MUNSON
TREASURER
1410 DAKOTA ST
LINCOLN NE 68502

Officer/Director/Trustee Four

AMBER LIDGETT
SECRETARY
705 LINCOLN AVE
MALVERN IA 51551

Officer/Director/Trustee Five

KELLIE GRANFIELD
BOARD MEMBER
1762 RIVERSIDE RD
CENTRAL CITY NE 68828

Organization’s website
Organization’s email PHOENIXEFFECTDEATHROWRESCUE@OUTLOOK.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/7/19
Organization Incorporation State KS
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: Yes
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 NICOLE BODE
Signature Title PRESIDENT
Signature Date 5/30/19

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