FORM 1023-EZ for ORPHAN KANINES ANIMAL ADOPTION CENTER INC

Field Data
EIN 82-4626764
Case Number EO-2018078-000334
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ORPHAN KANINES ANIMAL ADOPTION CENTER INC
Organization’s Mailing Address 1922 KREMER AVE
City RACINE
State WI
ZIP 53402-2755
Accounting period End 12
Primary contact name DEBRA GRAY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEBRA GRAY
PRESIDENT
1922 KREMER AVE
RACINE WI 53402-2755

Officer/Director/Trustee Two

SCOTT GRAY
TREASURER
1922 KREMER AVE
RACINE WI 53402-2755

Officer/Director/Trustee Three

RAVINA MURPHY
VICE PRESIDENT
1922 KREMER AVE
RACINE WI 53402-2755

Organization’s website
Organization’s email OKANIMALADOPTIONCENTER@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/2/18
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D20 - Animal Protection and Welfare
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DEBRA GRAY
Signature Title PRESIDENT
Signature Date 3/15/18

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