FORM 1023-EZ for OUT OF THE WOODS WILDLIFE RESCUE &REHAB

Field Data
EIN 85-1519289
Case Number EO-2021064-000552
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name OUT OF THE WOODS WILDLIFE RESCUE &REHAB
Organization’s Mailing Address 1660 LOCKE ROAD
City MILLINGTON
State TN
ZIP 38053-7306
Accounting period End 12
Primary contact name JESSICA HARVEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JESSICA HARVEY
OFFICER
1660 LOCKE ROAD
MILLINGTON TN 38053-7306

Officer/Director/Trustee Two

CAMERON PETERSEN
OFFICER
618 SOUTH MAIN
MEMPHIS TN 38103-4812

Officer/Director/Trustee Three

LAURA HORN
DIRECTOR
1049 COLONIAL ROAD
MEMPHIS TN 38117-5539

Officer/Director/Trustee Four

KATHARINE MAULDIN
DIRECTOR
172 KIMBROUGH PLACE APT 804
MEMPHIS TN 38104-6744

Officer/Director/Trustee Five

CYNTHIA TAYLOR
DIRECTOR
1757 CARRUTHERS
MEMPHIS TN 38112-5301

Organization’s website WWW.OUTOFTHEWOODSWILDLIFE.ORG
Organization’s email OUTOFTHEWOODSWILDLIFE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/4/2021
Organization Incorporation State TN
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: 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 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 JESSICA HARVEY
Signature Title OFFICER
Signature Date 1/4/2021

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