FORM 1023-EZ for WILSON CREEK WILDLIFE REHABILITATION CENTER INC

Field Data
EIN 85-0745904
Case Number EO-2020119-000109
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WILSON CREEK WILDLIFE REHABILITATION CENTER INC
Organization’s Mailing Address 106 COUNTY RD KR
City MARQUETTE
State MI
ZIP 49855
Accounting period End 12
Primary contact name KYANN CLARKE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KYANN CLARKE
DIRECTOR
106 COUNTY RD KR
MARQUETTE MI 49855

Officer/Director/Trustee Two

ROSCOE CLARKE
VICE PRESIDENT
106 COUNTY RD KR
MARQUETTE MI 49855

Officer/Director/Trustee Three

KATHY MOELLER
SECRETARY
2929 E BROADWAY UNIT 69
MESA AZ 85204

Organization’s website
Organization’s email KYBREE98@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/1/2020
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D34 - Wildlife Sanctuary, Refuge
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 KYANN CLARKE
Signature Title DIRECTOR
Signature Date 4/26/2020

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