FORM 1023-EZ for LUCKY CLOVER RESCUE
| Field | Data |
|---|---|
| EIN | 84-2848359 |
| Case Number | EO-2019259-000904 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | LUCKY CLOVER RESCUE |
| Organization’s Mailing Address | 26503 DOVER LINE RD |
| City | WATERFORD |
| State | WI |
| ZIP | 53185 |
| Accounting period End | 12 |
| Primary contact name | HOLLY WOOD |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
HOLLY WOOD
CEO
26501 DOVER LINE RD
WATERFORD WI 53185
Officer/Director/Trustee Two
JOSH WOOD
CHAIRPERSON OF THE GOVERNING BODY
26501 DOVER LINE RD
WATERFORD WI 53185
Officer/Director/Trustee Three
COLLETTE BOWE
TREASURER
33 W WASHINGTON AVENUE
HARTFORD WI 53027
| Organization’s website | WWW.LUCKYCLOVERRESCUE.ORG |
|---|---|
| Organization’s email | |
| Organization Incorporated | No |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 8/15/19 |
| Organization Incorporation State | WI |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | D20 - Animal Protection and Welfare |
| 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 | HOLLY WOOD |
| Signature Title | CEO |
| Signature Date | 9/12/19 |
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