FORM 1023-EZ for REINS RETIREMENT AND REHAB

Field Data
EIN 86-3555341
Case Number EO-2021183-000498
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name REINS RETIREMENT AND REHAB
Organization’s Mailing Address 5810 COYOTE LN
City PEYTON
State CO
ZIP 80831
Accounting period End 1
Primary contact name SHAELA LASKOWSKI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CONNIE ALLEE
TREASURER
5810 COYOTE LN
PEYTON CO 80831

Officer/Director/Trustee Two

SHAELA LASKOWSKI
PRESIDENT & DIRECTOR
5810 COYOTE LN
PEYTON CO 80831

Officer/Director/Trustee Three

JARED LASKOWSKI
SECRETARY & DIRECTOR
5810 COYOTE LN
PEYTON CO 80831

Organization’s website
Organization’s email REINSRETIREMENT@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/26/2021
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D61 - Animal Training, Behavior
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 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 SHAELA LASKOWSKI
Signature Title PRESIDENT & DIRECTOR
Signature Date 6/30/2021

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