FORM 1023-EZ for KITTY CITY RESCUE REHAB

Field Data
EIN 47-2013492
Case Number EO-2015222-000223
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KITTY CITY RESCUE REHAB
Organization’s Mailing Address 445 PARKER STREET
City STANHOPE
State IA
ZIP 50246
Accounting period End 12
Primary contact name KATHERINE FLOCKHART
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KATHERINE FLOCKHART
PRESIDENT
705 PARKER STREET
STANHOPE IA 50246

Officer/Director/Trustee Two

LISA HINDLE
VICE PRESIDENT
1718 DEWITT
ELLSWORTH IA 50075

Officer/Director/Trustee Three

CHRISTY HINDLE
OFFICER
1718 DEWITT
ELLSWORTH IA 50075

Officer/Director/Trustee Four

JAN DRESSEN
OFFICER
2207 N 29TH STREET
FORT DODGE IA 50501

Organization’s website
Organization’s email KITTYCITYRR@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/12/2014
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A70 - Humanities Organizations
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
Signature Title
Signature Date

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