FORM 1023-EZ for SOUTHERN WILDLIFE REHAB INC

Field Data
EIN 47-2845734
Case Number EO-2015023-000314
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SOUTHERN WILDLIFE REHAB INC
Organization’s Mailing Address 550 WOODCREST DRIVE
City SAN ANTONIO
State TX
ZIP 78209-2939
Accounting period End 12
Primary contact name MICHELLE CAMARA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MICHELLE CAMARA
PRESIDENT/SECRETARY
550 WOODCREST DRIVE
SAN ANTONIO TX 78209-2939

Officer/Director/Trustee Two

EVYNN WILKERSON
VICE PRESIDENT/TREASURER
515 EXETER APT F2
SAN ANTONIO TX 78209-4862

Officer/Director/Trustee Three

JENNIFER SCHULTZ
JR VICE PRESIDENT
1411 LOMA ALTO
SAN ANTONIO TX 78232-4449

Officer/Director/Trustee Four

WILLIAM PRICHARD
CHAIRPERSON NO 1
515 EXETER APT F2
SAN ANTONIO TX 78209-4862

Officer/Director/Trustee Five

VALERIE JAGNEAUX
EDUCATION DIRECTOR
PO BOX 471
GRAND COTEAU TX 70541-0471

Organization’s website NONE
Organization’s email WHODAT39@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/16/2014
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D30 - Wildlife Preservation, Protection
Organization’s purpose Charitable: No
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 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
Signature Title
Signature Date

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