FORM 1023-EZ for OTTER CREEK WILDLIFE RESCUE

Field Data
EIN 82-2350526
Case Number EO-2018106-000740
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name OTTER CREEK WILDLIFE RESCUE
Organization’s Mailing Address 3438 OTTER CREEK ROAD
City ADDISON
State VT
ZIP 5491
Accounting period End 12
Primary contact name DAVID E CARTER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JULIANNA PARKER
PRESIDENT
3438 OTTER CREEK ROAD
ADDISON VT 5491

Officer/Director/Trustee Two

ELLEN JARECKI
VICE PRESIDENT
77 WIND RIDGE
SHELBURNE VT 5482-6945

Officer/Director/Trustee Three

DAVID CARTER
TREASURER
36 B MANSION STREET
WINOOSKI VT 5404

Officer/Director/Trustee Four

TANYA CARTER
SECRETARY
36 B MANSION STREET
WINOOSKI VT 5404

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/1/17
Organization Incorporation State VT
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: 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 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 DAVID CARTER
Signature Title TREASURER
Signature Date 4/3/18

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