FORM 1023-EZ for KEMP WILDLIFE REHABILITATION RELEASE

Field Data
EIN 46-3116438
Case Number EO-2016021-000599
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KEMP WILDLIFE REHABILITATION RELEASE
Organization’s Mailing Address 5412 STEPHENS DRIVE
City WICHITA FALLS
State TX
ZIP 76310-3322
Accounting period End 1
Primary contact name JESSE KEMP
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JESSE KEMP
PRESIDENT
5412 STEPHENS DRIVE
WICHITA FALLS TX 76310-3322

Officer/Director/Trustee Two

DAWN CALHOUN
VICE PRESIDENT
2850 RIVER ROAD
WICHITA FALLS TX 76305-7527

Officer/Director/Trustee Three

MISSEY FORSGREN
SECRETARY
702 WEST MAGNOLIA
IOWA PARK TX 76367-1525

Organization’s website KEMPWILDLIFE.WIX.COM/KEMPWILDLIFE
Organization’s email KEMPWILDLIFE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/21/2014
Organization Incorporation State TX
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: 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 Yes
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers Yes
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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