FORM 1023-EZ for WANNA BE PET RESCUE

Field Data
EIN 81-2580826
Case Number EO-2017027-000152
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WANNA BE PET RESCUE
Organization’s Mailing Address 18 EAST AVENUE
City MOUNT CARMEL
State PA
ZIP 17851-1410
Accounting period End 12
Primary contact name REBECCA HETHERINGTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

REBECCA HETHERINGTON
DIRECTOR
18 EAST AVE
MOUNT CARMEL PA 17851-1410

Officer/Director/Trustee Two

REBECCA SHOTT
CO DIRECTOR
18 EAST AVE
MOUNT CARMEL PA 17851-1410

Officer/Director/Trustee Three

THERESA PROCTOR
TREASURER
4305 BRIDLEPATH COURT
FREDERICKSBURG VA 22408

Officer/Director/Trustee Four

MICHELLE GOTSCHALL
SECRETARY
54 MAKARA DRIVE
DRUMS PA 18222

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/11/2016
Organization Incorporation State PA
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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