FORM 1023-EZ for FOREVER WILD REHABILITATION INC

Field Data
EIN 81-4817092
Case Number EO-2017005-000293
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FOREVER WILD REHABILITATION INC
Organization’s Mailing Address 17418 SNAP LODGE ROAD
City DEWITT
State VA
ZIP 23840
Accounting period End 12
Primary contact name LIN FOX
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LIN FOX
FOUNDER
17418 SNAP LODGE ROAD
DEWITT VA 23840

Officer/Director/Trustee Two

GUY RAYMER
DIRECTOR
17418 SNAP LODGE ROAD
DEWITT VA 23840

Organization’s website
Organization’s email FOREVERWILDREHABILITATION@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/3/2017
Organization Incorporation State VA
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 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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