FORM 1023-EZ for HOMETOWN RESCUE

Field Data
EIN 84-3563425
Case Number EO-2019312-000027
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HOMETOWN RESCUE
Organization’s Mailing Address 7729 N CRESTLINE DR
City PEORIA
State IL
ZIP 61615
Accounting period End 1
Primary contact name KELLY KOETTERS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KELLY KOETTERS
OFFICER/PRESIDENT
210 DANIEL PKWY
WASHINGTON IL 61571-1012

Officer/Director/Trustee Two

KIM SPRINGMAN
OFFICER/DIRECTOR
3408 N PEORIA AVE
PEORIA IL 61603-1124

Officer/Director/Trustee Three

ANNE ARNOLD
OFFICER/CHAIRPERSON
1137 W PINE CT
CHILLICOTHE IL 61523-2034

Officer/Director/Trustee Four

SHERYL COPPINS
TREASURER
1137 W PINE CT
CHILLICOTHE IL 61523-2034

Organization’s website
Organization’s email CLIENT_SERVICES@VETCAREANYWHERE.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/1/19
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D40 - Veterinary Services
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 KELLY KOETTERS
Signature Title OFFICER/PRESIDENT
Signature Date 11/6/19

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