FORM 1023-EZ for NEW LEAF WILDLIFE REHAB

Field Data
EIN 85-2657972
Case Number EO-2020245-000061
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NEW LEAF WILDLIFE REHAB
Organization’s Mailing Address 5101 FOWLER FARM RD
City MINT HILL
State NC
ZIP 28227-9255
Accounting period End 12
Primary contact name JOAN SHINN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROSEANN MICHALOWSKI
PRESIDENT
1616 S CHIPLEY FORD RD
STATESVILLE NC 28625-8740

Officer/Director/Trustee Two

JOAN SHINN
TREASURER
5101 FOWLER FARM RD
MINT HILL NC 28227-9255

Officer/Director/Trustee Three

KAREN SMALL
SECRETARY
4453 HADDINGTON DR
INDIAN LAND SC 29707-2506

Officer/Director/Trustee Four

MICHELE ROTHSCHILD
DIRECTOR OF PUBLIC OUTREACH
9122 KINGS CANYON DR
CHARLOTTE NC 28210-7676

Officer/Director/Trustee Five

KIMBERLY KUHN
DIRECTOR OF TECHNOLOGY
1598 OLD HARMONY RD
CONCORD NC 28027-8030

Organization’s website NEWLEAFWILDLIFE.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/24/2020
Organization Incorporation State NC
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: Yes
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 JOAN SHINN
Signature Title TREASURER
Signature Date 8/28/2020

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