FORM 1023-EZ for OUTPOST 4 WILDLIFE REHABILITATION SERVICES INC

Field Data
EIN 81-3687543
Case Number EO-2016347-000336
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name OUTPOST 4 WILDLIFE REHABILITATION SERVICES INC
Organization’s Mailing Address 1052 GAGE ROAD
City DELANSON
State NY
ZIP 12053
Accounting period End 4
Primary contact name LINDA BROWN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ERIC BROWN
PRESIDENT
1052 GAGE ROAD
DELANSON NY 12053

Officer/Director/Trustee Two

LINDA BROWN
TREASURER/SECRETARY
1052 GAGE ROAD
DELANSON NY 12053

Officer/Director/Trustee Three

DARLA GULLOTTA
DIRECTOR OF COMMUNICATIONS AND PUBL
14 WINDSOR DRIVE
SCHENECTADY NY 12302-3407

Organization’s website HTTP://WWW.OUTPOST4WRS.ORG/
Organization’s email OUTPOST4WRS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/29/2016
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D60 - Other Services - Specialty Animals
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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