FORM 1023-EZ for BOREALIS ANIMAL RESCUE CORP

Field Data
EIN 86-2456738
Case Number EO-2021100-000794
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BOREALIS ANIMAL RESCUE CORP
Organization’s Mailing Address 1384 WHISTLING SWAN DR
City FAIRBANKS
State AK
ZIP 99712
Accounting period End 12
Primary contact name RACHELE VOLLERT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RACHELE VOLLERT
PRESIDENT/DIRECTOR
1384 WHISTLING SWAN DR
FAIRBANKS AK 99712

Officer/Director/Trustee Two

TERI KEY
TREASURER/DIRECTOR
4911 PALO VERDE
FAIRBANKS AK 99709

Officer/Director/Trustee Three

AMANDA MANIFIED
SECRETARY/DIRECTOR
1190 PROPWASH
FAIRBANKS AK 99709

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/4/2021
Organization Incorporation State AK
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: 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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name RACHELE VOLLERT
Signature Title PRESIDENT/DIRECTOR
Signature Date 3/31/2021

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