FORM 1023-EZ for ORION TRIPLE R- RESCUE REHAB REHOME

Field Data
EIN 47-3503076
Case Number EO-2015089-000267
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ORION TRIPLE R- RESCUE REHAB REHOME
Organization’s Mailing Address 1460 KEYSVILLE BRUCEVILLE RD
City KEYMAR
State MD
ZIP 21757
Accounting period End 3
Primary contact name KATHARINE WARE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KATHARINE WARE
PRESIDENT
1460 KEYSVILLE BRUCEVILLE RD
KEYMAR MD 21757

Officer/Director/Trustee Two

TABITHA KIM
DIRECTOR/BOARD MEMBER
7632 WEEDON RD
ADAMSTOWN MD 21710

Officer/Director/Trustee Three

KEVIN WARE
DIRETOR/BOARD MEMBER
1460 KEYSVILLE BRUCEVILLE RD
KEYMAT MD 21757

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/12/2015
Organization Incorporation State MD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D99 - Animal-Related N.E.C.
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 Yes
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
Signature Title
Signature Date

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