FORM 1023-EZ for THE CHICKEN RESCUE

Field Data
EIN 82-0939332
Case Number EO-2017109-000206
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE CHICKEN RESCUE
Organization’s Mailing Address 3238 COUNTY ROAD 536
City ALVIN
State TX
ZIP 77511
Accounting period End 12
Primary contact name TIFFANY BALLOU
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TIFFANY BALLOU
DIRECTOR/PRESIDENT
3238 COUNTY ROAD 536
ALVIN TX 77511

Officer/Director/Trustee Two

TODD BALLOU
DIRECTOR/VICE PRESIDENT
3238 COUNTY ROAD 536
ALVIN TX 77511

Officer/Director/Trustee Three

SHERRY FENWICK
SECRETARY/TREASURER
1703 BRIGHTON COURT
CHAMPAIGN IL 61822

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/15/2017
Organization Incorporation State TX
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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