FORM 1023-EZ for FOR FOX SAKE WILDLIFE RESCUE

Field Data
EIN 85-0724061
Case Number EO-2020115-000192
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FOR FOX SAKE WILDLIFE RESCUE
Organization’s Mailing Address 7907 HAMILTON MILL DR
City CHATTANOOGA
State TN
ZIP 37421
Accounting period End 12
Primary contact name JUNIPER RUSSO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JUNIPER RUSSO
PRESIDENT
7907 HAMILTON MILL DRIVE
CHATTANOOGA TN 37421

Officer/Director/Trustee Two

ERICH BELL
DIRECTOR
PO BOX 1251
CHATTANOOGA TN 37341

Officer/Director/Trustee Three

ALIYA RUBENSTEIN
DIRECTOR
3504 LAUREL STREET
NEW ORLEANS LA 70115

Officer/Director/Trustee Four

JENNIFER LEWIS
DIRECTOR
710 MILES ROAD
SIGNAL MOUNTAIN TN 37377

Officer/Director/Trustee Five

DAVID ABORN
DIRECTOR
332 BRANCH DRIVE
HIXSON TN 37343

Organization’s website WWW.FORFOXSAKEWILDLIFE.COM
Organization’s email FORFOXSAKEWILDLIFE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/22/2020
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D99 - Animal-Related N.E.C.
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 No
Correctness Declaration Yes
Signature Name JUNIPER RUSSO
Signature Title PRESIDENT
Signature Date 4/22/2020

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