FORM 1023-EZ for WAGS ANIMAL RESCUE INC

Field Data
EIN 82-2722760
Case Number EO-2017277-000321
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WAGS ANIMAL RESCUE INC
Organization’s Mailing Address 3101 SW 34TH AVE 136-95
City OCALA
State FL
ZIP 34474
Accounting period End 4
Primary contact name KATHERINE ADAMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KATHERINE ADAMS
PRESIDENT
3101 SW 34TH AVE 136-95
OCALA FL 34474

Officer/Director/Trustee Two

JENNI DERROUGH
VICE PRESIDENT
3101 SW 34TH AVE 136-95
OCALA FL 34474

Officer/Director/Trustee Three

SUSAN TYNDALL
SECRETARY
3101 SW 34TH AVE 136-95
OCALA FL 34474

Officer/Director/Trustee Four

JONATHAN TYNDALL
TREASURER
3101 SW 34TH AVE 136-95
ST AUGUSTINE FL 32086

Officer/Director/Trustee Five

ROCCO CARBONE
DIRECTOR
320 HIGH TIDE DRIVE
ST AUGUSTINE FL 32084

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/12/2017
Organization Incorporation State FL
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: 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
Signature Title
Signature Date

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