FORM 1023-EZ for EPIC RESCUE

Field Data
EIN 81-2144982
Case Number EO-2016215-000093
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name EPIC RESCUE
Organization’s Mailing Address 301 W MAIN ST
City YATES CITY
State IL
ZIP 61572
Accounting period End 12
Primary contact name ELIZABETH LUPER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ELIZABETH LUPER
PRESIDENT
301 W MAIN ST
YATES CITY IL 61572

Officer/Director/Trustee Two

LIZ LUPER
TREASURER/SECRETARY
301 W MAIN ST
GILLESPIE IL 62033

Officer/Director/Trustee Three

MANDY MANCHESTER
VICE PRESIDENT
231 E ADAMS ST APT 9
VIRGINIA IL 62691

Officer/Director/Trustee Four

ECHO HAMPTONSTALL
MEMBER
9407 GOETZ
HANNA CITY IL 61536

Organization’s website
Organization’s email EPIC_SAVE@ICLOUD.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/8/2016
Organization Incorporation State IL
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: 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 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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