FORM 1023-EZ for WILD ROSE SANCTUARY

Field Data
EIN 82-2258409
Case Number EO-2017207-000217
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WILD ROSE SANCTUARY
Organization’s Mailing Address 201 LEUENBERGER LANE
City DOUGLAS
State WY
ZIP 82633
Accounting period End 12
Primary contact name AMANDA SMITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WILLIAM JARED SMITH
VICE PRESIDENT
201 LEUENBERGER LANE
DOUGLAS WY 82633

Officer/Director/Trustee Two

DEBORAH KYLE
DIRECTOR
PO BOX 1402
DOUGLAS WY 82633

Officer/Director/Trustee Three

AMANDA SMITH
PRESIDENT
201 LEUENBERGER LANE
DOUGLAS WY 82633

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/23/2017
Organization Incorporation State WY
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: 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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