FORM 1023-EZ for WILDLIFE REHABILITATION NETWORK OFCENTRAL IOWA

Field Data
EIN 47-4127487
Case Number EO-2016123-000214
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WILDLIFE REHABILITATION NETWORK OFCENTRAL IOWA
Organization’s Mailing Address 32425 S OLD HWY 6R
City REDFIELD
State IA
ZIP 50233
Accounting period End 12
Primary contact name TERRY JONES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TERRY JONES
PRESIDENT
32425 S OLD HWY 6
REDFIELD IA 50233

Officer/Director/Trustee Two

LESLIE GREEN-ELWELL
SECRETARY
106 NE OAK DRIVE
ANKENY IA 50021

Officer/Director/Trustee Three

KAREN MUELHAUPT
TREASURER
34565 ROSELAND
CUMMING IA 50061

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/2015
Organization Incorporation State KS
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: 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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