FORM 1023-EZ for 3D WILDLIFE RESCUE AND REHAB

Field Data
EIN 81-3036527
Case Number EO-2016179-000267
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name 3D WILDLIFE RESCUE AND REHAB
Organization’s Mailing Address 1745 S 5TH AVENUE
City KANKAKEE
State IL
ZIP 60901
Accounting period End 12
Primary contact name DAWN M TUTT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DAWN TUTT
DIRECTOR
1745 S 5TH AVENUE
KANKAKEE IL 60901

Officer/Director/Trustee Two

DIANA SMALLWOOD
DIRECTOR
1968 E CHESTNUT ST
KANKAKEE IL 60901

Officer/Director/Trustee Three

DONALD MINER
DIRECTOR
583 S LINCOLN AVE
KANKAKEE IL 60901

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/23/2016
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D30 - Wildlife Preservation, Protection
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 Yes
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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