FORM 1023-EZ for WILDLIFE REHAB LORENA INC

Field Data
EIN 82-1086004
Case Number EO-2017150-000433
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WILDLIFE REHAB LORENA INC
Organization’s Mailing Address 697 MONUMENT TRAIL
City LORENA
State TX
ZIP 76655
Accounting period End 12
Primary contact name RACHEL SINE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RACHEL SINE
DIRECTOR
697 MONUMENT TRAIL
LORENA TX 76655

Officer/Director/Trustee Two

ASHLEY SCHMIDT
PRESIDENT
3013 ANDALUSIAN LANE
ROBINSON TX 76706

Officer/Director/Trustee Three

JAKE SCHMIDT
SECRETARY
3013 ANDALUSIAN LANE
ROBINSON TX 76706

Officer/Director/Trustee Four

MARY MEADOWS
CO-DIRECTOR
211 OAK CREEK CIR
MCGREGOR TX 76659

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/19/2017
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: Yes
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 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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