FORM 1023-EZ for MOOSERS KANE-9 RESCUE FOUNDATION

Field Data
EIN 47-1481867
Case Number EO-2014311-000426
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MOOSERS KANE-9 RESCUE FOUNDATION
Organization’s Mailing Address 1945 MARLOWE ST
City CANTON
State MI
ZIP 48187
Accounting period End 12
Primary contact name CHAD CORLISS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MICHELLE CORLISS
PRESIDENT
1945 MARLOWE ST
CANTON MI 48187

Officer/Director/Trustee Two

DAN DEPEW
VICE-PRESIDENT
465 S FREER RD
CHELSEA MI 48118

Officer/Director/Trustee Three

JOHN KOTELES
SECRETARY
465 S FREER RD
CHELSEA MI 48118

Officer/Director/Trustee Four

CHAD CORLISS
TREASURER
1945 MARLOWE ST
CANTON MI 48187

Officer/Director/Trustee Five

JEREMY BRUNNER
MEMBER-AT-LARGE
7019 MAPLEWOOD
TEMPERANCE MI 48182

Organization’s website HTTP://WWW.MOOSERSKANE-9RESCUE.ORG
Organization’s email TREASURER@MOOSERSKANE-9RESCUE.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/26/2014
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: 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
Signature Title
Signature Date

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