FORM 1023-EZ for KATIES LANE - ANIMAL REHAB AND RESCUE NFP

Field Data
EIN 84-3147196
Case Number EO-2019270-000211
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KATIES LANE - ANIMAL REHAB AND RESCUE NFP
Organization’s Mailing Address 7681 OLD RIVER RD
City ROCKFORD
State IL
ZIP 61103
Accounting period End 12
Primary contact name CATHERINE MANNO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CATHERINE MANNO
PRESIDENT
7681 OLD RIVER RD
ROCKFORD IL 61103

Officer/Director/Trustee Two

MICHELLE SCHRIEBER
VICE PRESIDENT
12158 LAUREL LN
CALEDONIA IL 61011

Officer/Director/Trustee Three

FAITH BALSIER
SECRETARY
1251 N HONORE ST
CHICAGO IL 60622

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/18/19
Organization Incorporation State IL
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: 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 CATHERINE MANNO
Signature Title PRESIDENT
Signature Date 9/25/19

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