FORM 1023-EZ for TEAM MOJO WILD RESCUE

Field Data
EIN 47-4838243
Case Number EO-2015286-000188
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TEAM MOJO WILD RESCUE
Organization’s Mailing Address 1207 KELLOGG AVE
City AMES
State IA
ZIP 50010
Accounting period End 12
Primary contact name KIRSTEN FAISAL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KIRSTEN FAISAL
CHAIR
419 8TH STREET
AMES IA 50010

Officer/Director/Trustee Two

MYRNA HENRICH
VICE-CHAIR
PO BOX 615
KIRON IA 51448

Officer/Director/Trustee Three

KELLY CARNINE
TREASURER
1026 MESA VERDE PLACE
AMES IA 50014

Officer/Director/Trustee Four

LAURI ULVESTAD
SECRETARY
PO BOX 239
GILBERT IA 50105

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/6/2015
Organization Incorporation State IA
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 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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