FORM 1023-EZ for AKITA RESCUE AND REHABILITATION OFWISCONSIN
| Field | Data |
|---|---|
| EIN | 81-2883584 |
| Case Number | EO-2016187-000239 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | AKITA RESCUE AND REHABILITATION OFWISCONSIN |
| Organization’s Mailing Address | W4054 LITTLE PRAIRIE ROAD |
| City | EAST TROY |
| State | WI |
| ZIP | 53120 |
| Accounting period End | 6 |
| Primary contact name | KIM KOZAK |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
KIM KOZAK
EXECUTIVE DIRECTOR, TREASURER
W4054 LITTLE PRAIRIE ROAD
EAST TROY WI 53120
Officer/Director/Trustee Two
BRANDY KETCHUM
DIRECTOR
304 W NORTH STREET
TWIN LAKES WI 53181
Officer/Director/Trustee Three
REBECCA WENSEL
DIRECTOR
6715 W 146TH PL
CROWN POINT IN 46307
| Organization’s website | WWW.AKITARESCUEANDREHABILITATIONOFWISCONSIN.ORG |
|---|---|
| Organization’s email | AKITARESCUEWISCONSIN@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 5/21/2016 |
| Organization Incorporation State | WI |
| 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 | 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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