FORM 1023-EZ for CICADA WILDLIFE STATION INCORPORATED

Field Data
EIN 85-1672327
Case Number EO-2021034-000090
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CICADA WILDLIFE STATION INCORPORATED
Organization’s Mailing Address 22600 N US HWY 441
City MICANOPY
State FL
ZIP 32667
Accounting period End 12
Primary contact name KALI WOLF
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KALI WOLF
PRESIDENT
22600 N US HWY 441
MICANOPY FL 32667

Officer/Director/Trustee Two

YISEL SILVA-ALVARADO
SECRETARY
22600 N US HWY 441
MICANOPY FL 32667

Officer/Director/Trustee Three

LEIGH KAVOUKLIS
TREASURER
22600 N US HWY 441
MICANOPY FL 32667

Officer/Director/Trustee Four

ERIN BARBER
BOARD MEMBER
22600 N US HWY 441
MICANOPY FL 32667

Officer/Director/Trustee Five

HEATHER RACIOPPI
BOARD MEMBER
22600 N US HWY 441
MICANOPY FL 32667

Organization’s website
Organization’s email CKAVOUKLISWOLF@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/11/2019
Organization Incorporation State FL
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: 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 No
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 KALI WOLF
Signature Title PRESIDENT
Signature Date 12/8/2020

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