FORM 1023-EZ for WAGON TAILS FARM RESCUE

Field Data
EIN 82-4880285
Case Number EO-2019036-000527
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WAGON TAILS FARM RESCUE
Organization’s Mailing Address 150 WAGON FORD RD
City BEULAVILLE
State NC
ZIP 28518
Accounting period End 12
Primary contact name GERI ROMAIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STEPHEN ROMAIN
PRESIDENT
150 WAGON FORD RD
BEULAVILLE NC 28518

Officer/Director/Trustee Two

DIANA ROMAIN
VICE PRESIDENT
14567 PEASE RD
MAPLE HTS OH 44147

Officer/Director/Trustee Three

GERALDINE MAIN
SECRETARY
150 WAGON FORD RD
BEULAVILLE NC 28518

Officer/Director/Trustee Four

CAROL HOFFMAN
TREASURER
10828 N BILTMORE DR
PHOENIX AZ 85029

Officer/Director/Trustee Five

BETHEL MAIN
BOARD MEMBER
4380 N SPRINGBRANCH RD
DUNN NC 28340

Organization’s website WWW.WAGONTAILSFARM.ORG
Organization’s email WAGONTAILSFARM@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/27/18
Organization Incorporation State NC
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 Yes
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 Yes
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 GERALDINE MAIN
Signature Title SECRETARY
Signature Date 1/18/19

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