FORM 1023-EZ for FOURWINDS ANIMAL RESCUE SANCTUARY REHABILITATION INC

Field Data
EIN 47-3247452
Case Number EO-2015279-000162
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FOURWINDS ANIMAL RESCUE SANCTUARY REHABILITATION INC
Organization’s Mailing Address 2620 15TH STREET
City PANAMA CITY
State FL
ZIP 32405
Accounting period End 12
Primary contact name CARLA HUBBARD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CARLA HUBBARD
PRESIDENT
4930 HASTY POND DR
MARIANNA FL 32448

Officer/Director/Trustee Two

CARLA HUBBARD
SECRETARY
4930 HASTY POND DR
MARIANNA FL 32448

Officer/Director/Trustee Three

CARLA HUBBARD
DIRECTOR
4930 HASTY POND DR
MARIANNA FL 32448

Officer/Director/Trustee Four

JAMES FLYNN
DIRECTOR
4930 HASTY POND DR
MARIANNA FL 32448

Officer/Director/Trustee Five

JANEEN WATSON
DIRECTOR
13524 SCOTTS FERRY RD
YOUNGSTOWN FL 32466

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/1/2015
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D40 - Veterinary Services
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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