FORM 1023-EZ for MISFITS REHABILITATION INC

Field Data
EIN 87-2065885
Case Number EO-2021224-000252
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MISFITS REHABILITATION INC
Organization’s Mailing Address 501 W BRISTOL ST
City ELKHART
State IN
ZIP 46514
Accounting period End 12
Primary contact name MICHAEL P KOONS II
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TOSHA KOONS
OFFICER
501 W BRISTOL ST
ELKHART IN 46514

Officer/Director/Trustee Two

MICHAEL KOONS
DIRECTOR
501 W BRISTOL ST
ELKHART IN 46514

Organization’s website WWW.MISFITREHAB.ORG
Organization’s email DONATE@MISFITREHAB.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/6/2021
Organization Incorporation State IN
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 Yes
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 MICHAEL KOONS
Signature Title DIRECTOR
Signature Date 8/10/2021

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