FORM 1023-EZ for FAERIELAND RESCUE

Field Data
EIN 81-0816117
Case Number EO-2016020-000104
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FAERIELAND RESCUE
Organization’s Mailing Address 6100 APPLE RD
City SHOREWOOD
State MN
ZIP 55331
Accounting period End 12
Primary contact name KATHY DUVALL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DAN FISK
TREASURER
6100 APPLE RD
SHOREWOOD MN 55331

Officer/Director/Trustee Two

EILEEN VARHALLA
BOARD MEMBER
9789 253RD AVE NE
STACY MN 55079

Officer/Director/Trustee Three

SHARON TODOROFF
PRESIDENT
6343 PINE ST
COLUMBUS MN 55014

Officer/Director/Trustee Four

DEBBIE BLOOM
SECRETARY
3311 ROLL LANE
EAGAN MN 55121-2322

Officer/Director/Trustee Five

KATHY DUVALL
BOARD MEMBER
18665 CEDAR DRV NW
CEDAR MN 55011

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/4/2016
Organization Incorporation State MN
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: 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 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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