FORM 1023-EZ for TI-COUNTY WILDLIFE CARE INC

Field Data
EIN 81-4707432
Case Number EO-2016354-000276
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TI-COUNTY WILDLIFE CARE INC
Organization’s Mailing Address 11330 WOODSONG LOOP S
City JACKSONVILLE
State FL
ZIP 32225
Accounting period End 12
Primary contact name KIMBERLY PAPIERNIK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KATHLEEN HOVEN
PRESIDENT
7038 SENECA AVE
JACKSONVILLE FL 32210

Officer/Director/Trustee Two

WANDA TURNER
VICE PRESIDENT
8637 COLLINS RIDGE BLVD
JACKSONVILLE FL 32244

Officer/Director/Trustee Three

PATTI HONCOOP
SECRETARY
10315 NORMANWOOD CT
JACKSONVILLE FL 32221

Officer/Director/Trustee Four

KIMBERLY PAPIERNIK
TREASURER
11330 WOODSONG LOOP S
JACKSONVILLE FL 32225

Organization’s website TRICOUNTYWILDLIFE.ORG
Organization’s email TRICOUNTYWILDLIFE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/25/2016
Organization Incorporation State FL
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: 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
Signature Title
Signature Date

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