FORM 1023-EZ for WILDLIFE MATTERS REHABILITATION HAVEN INC

Field Data
EIN 86-1301449
Case Number EO-2021064-001005
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WILDLIFE MATTERS REHABILITATION HAVEN INC
Organization’s Mailing Address 196 EASY STREET
City NANCY
State KY
ZIP 42544
Accounting period End 12
Primary contact name CAROL MOORE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CAROL MOORE
PRESIDENT
196 EASY STREET
NANCY KY 42544

Officer/Director/Trustee Two

OTIS MOORE
VICE PRESIDENT
196 EASY STREET
NANCY KY 42544

Officer/Director/Trustee Three

TRACEY BRUNER
SECRETARY
3915 DRY FORK ROAD
WINDSOR KY 42565

Organization’s website
Organization’s email carol.moore2010@gmail.com
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/21/2020
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D34 - Wildlife Sanctuary, Refuge
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 CAROL MOORE
Signature Title PRESIDENT
Signature Date 1/8/2021

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