FORM 1023-EZ for PHOENIX RISING RESCUE AND REHABILITATION INC

Field Data
EIN 47-1337841
Case Number EO-2019301-000269
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PHOENIX RISING RESCUE AND REHABILITATION INC
Organization’s Mailing Address 2122 NORTH 130TH AVENUE
City FALL CREEK
State WI
ZIP 54742
Accounting period End 12
Primary contact name JENNIFER STONE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JENNIFER STONE
OFFICER
2118 N 130TH AVE
FALL CREEK WI 54742

Officer/Director/Trustee Two

TRAVIS QUELLA
PRESIDENT
E20255 ND LOOP
AUGUSTA WI 54722

Officer/Director/Trustee Three

CRISTA DAWSON
OFFICER
16981 175TH
BLOOMER WI 54724

Officer/Director/Trustee Four

JOSEPH KINNEAR
TREASURER
N7518 FAIRVIEW RD
LADYSMITH WI 54848

Officer/Director/Trustee Five

NICHOLE MILLER
OFFICER
2515 WILLIS AVENUE
EAU CLAIRE WI 54703

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/19/14
Organization Incorporation State WI
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: 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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JENNIFER STONE
Signature Title OFFICER
Signature Date 10/18/19
EIN 47-1337841
Case Number EO-2014246-000225
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PHOENIX RISING RESCUE AND REHABILITATION INC
Organization’s Mailing Address 15851 46TH AVENUE
City CHIPPEWA FALLS
State WI
ZIP 54729
Accounting period End 12
Primary contact name JENNIFER J STONE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JENNIFER STONE
DIRECTOR
15851 46TH AVENUE
CHIPPEWA FALLS WI 54729

Officer/Director/Trustee Two

TRAVIS QUELLA
DIRECTOR
E3015 COUNTY HH
ELEVA WI 54738

Officer/Director/Trustee Three

JOE KINNEAR
DIRECTOR
M7518 WEST FAIRVIEW ROAD
LADYSMITH WI 54848

Officer/Director/Trustee Four

EMILY LONG
DIRECTOR
6924 WEST LOWES CREEK ROAD
EAU CLAIRE WI 54701

Officer/Director/Trustee Five

HELEN STAACK
DIRECTOR
2905 GREENVIEW DRIVE
EAU CLAIRE WI 54703

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/14/2014
Organization Incorporation State WI
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
Signature Title
Signature Date

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