FORM 1023-EZ for CAMP CAVY GUINEA PIG RESCUE

Field Data
EIN 82-1674866
Case Number EO-2017157-000234
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CAMP CAVY GUINEA PIG RESCUE
Organization’s Mailing Address 721 S CALUMET AVE
City MICHIGAN CITY
State IN
ZIP 46360-5614
Accounting period End 6
Primary contact name ANGELA KUTA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANGELA KUTA
DIRECTOR
721 S CALUMET AVE
MICHIGAN CITY IN 46360-5614

Officer/Director/Trustee Two

JESSICA SCOBEY
ASSISTANT DIRECTOR
3913 N EXPLORER LN
WHEATFIELD IN 46392

Officer/Director/Trustee Three

ALYSSA ALLEN
SECRETARY/TREASURER
3913 N EXPLORER LN
WHEATFIELD IN 46392

Organization’s website CAMPCAVYRESCUE.ORG
Organization’s email CAMPCAVYRESCUE@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/1/2016
Organization Incorporation State IN
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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