FORM 1023-EZ for ROCKY MOUNTAIN WILDHEART

Field Data
EIN 84-3522189
Case Number EO-2019304-000353
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ROCKY MOUNTAIN WILDHEART
Organization’s Mailing Address 2830 MONICA DRIVE WEST
City COLORADO SPGS
State CO
ZIP 80916
Accounting period End 12
Primary contact name DEZERAE DANIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEZERAE DANIS
DIRECTOR
2830 MONICA DR WEST
COLORADO SPRINGS CO 80916

Officer/Director/Trustee Two

AUBREIGH HIEMES
OFFICER
3259 WISDOM WAY
PRESCOTT AZ 86305

Officer/Director/Trustee Three

JACKIE KHO
OFFICER
19 RIVERVIEW ROAD
MONMOUTH BEACH NJ 07750

Officer/Director/Trustee Four

ROBYN FORD
VICE PRESIDENT
7844 MORTON DRIVE
FOUNTAIN CO 80817

Organization’s website
Organization’s email ROCKYMTNWILDLIFEREHAB@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/30/2018
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D99 - Animal-Related N.E.C.
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 DEZERAE DANIS
Signature Title DIRECTOR
Signature Date 10/29/2019

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