FORM 1023-EZ for A WILD LIFE ANIMAL REHABILITATION SERVICES

Field Data
EIN 85-2299469
Case Number EO-2020218-000044
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name A WILD LIFE ANIMAL REHABILITATION SERVICES
Organization’s Mailing Address 4382 STONERIDGE DR
City FLINT
State TX
ZIP 75762
Accounting period End 12
Primary contact name ANDREW DYE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NATASHA CHAB
PRESIDENT AND DIRECTOR
4382 STONERIDGE DR
FLINT TX 75762

Officer/Director/Trustee Two

JARED JOHNSON
SECRETARY AND DIRECTOR
4382 STONERIDGE DR
FLINT TX 75762

Officer/Director/Trustee Three

EMILY OWEN
TREASURER AND DIRECTOR
17552 FM14
TYLER TX 75706

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/25/2020
Organization Incorporation State TX
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: 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 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 NATASHA CHAB
Signature Title PRESIDENT AND DIRECTOR
Signature Date 8/3/2020

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