FORM 1023-EZ for VICS LEGACY INC

Field Data
EIN 82-4136624
Case Number EO-2018029-000386
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name VICS LEGACY INC
Organization’s Mailing Address 2058 150TH ST
City WAVERLY
State IA
ZIP 50677-8916
Accounting period End 1
Primary contact name KAITLYN HAUSER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KAITLYN HAUSER
PRESIDENT/FOUNDER
2058 150TH ST
WAVERLY IA 50677-8916

Officer/Director/Trustee Two

JEN HAUSER
DIRECTOR
30338 110TH ST
CLARSKVILLE IA 50619

Organization’s website
Organization’s email VICSLEGACYRESCUE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/2/18
Organization Incorporation State IA
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: 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 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 KAITLYN HAUSER
Signature Title PRESIDENT/FOUNDER
Signature Date 1/25/18

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