FORM 1023-EZ for EDENS EXOTIC RESCUE INC

Field Data
EIN 83-0587289
Case Number EO-2018158-000190
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EDENS EXOTIC RESCUE INC
Organization’s Mailing Address 1118 N DRY CREEK DRIVE
City DERBY
State KS
ZIP 67037
Accounting period End 12
Primary contact name MELISSA SIMMONS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MELISSA SIMMONS
DIRECTOR
1118 N DRY CREEK DRIVE
DERBY KS 67037

Officer/Director/Trustee Two

SABRINA CLARK
OFFICER
1118 N DRY CREEK DRIVE
DERBY KS 67037

Organization’s website EDENEXOTICRESCUE.ORG
Organization’s email MSIMMONS@EDENEXOTICRESCUE.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/16/18
Organization Incorporation State KS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D60 - Other Services - Specialty Animals
Organization’s purpose Charitable: No
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 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 MELISSA SIMMONS
Signature Title DIRECTOR
Signature Date 6/5/18

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