FORM 1023-EZ for FORD ANIMAL RESCUE MISSION INCORPORATION

Field Data
EIN 83-3145815
Case Number EO-2019038-000147
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FORD ANIMAL RESCUE MISSION INCORPORATION
Organization’s Mailing Address 3190 S HOPKINS AVE
City TITUSVILLE
State FL
ZIP 32780
Accounting period End 12
Primary contact name BRAD FORD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRAD FORD
PRESIDENT
3204 S HOPKINS AVE
TITUSVILLE FL 32780

Officer/Director/Trustee Two

GEORGE DERR
SECRETARY
1125 LINDA AVE
TITUSVILLE FL 32780

Officer/Director/Trustee Three

THOMAS SMITH
TREASURER
7533 HATTERAS DRIVE
HUDSON FL 34667

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/9/19
Organization Incorporation State FL
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: 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 Yes
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 BRAD FORD
Signature Title PRESIDENT
Signature Date 1/29/19

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