FORM 1023-EZ for MOTHER OF MANY WILDLIFE REHAB INC

Field Data
EIN 85-1542772
Case Number EO-2020181-000724
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MOTHER OF MANY WILDLIFE REHAB INC
Organization’s Mailing Address 3950 CRANDALL
City HOWELL
State MI
ZIP 48855
Accounting period End 12
Primary contact name JOLENE MATOUSEK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOLENE MATOUSEK
PRESIDENT/TREAS/DIR
3950 CRANDALL ROAD
HOWELL MI 48855

Officer/Director/Trustee Two

ANGELA TAYLOR
SECRETARY/DIRECTOR
10726 MARNE
DETROIT MI 48224

Officer/Director/Trustee Three

JAMES BOUQUENOY
DIRECTOR
10726 MARNE
DETROIT MI 48224

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/19/2020
Organization Incorporation State MI
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: 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 JOLENE MATOUSEK
Signature Title PRESIDENT/TREAS/DIR
Signature Date 6/27/2020

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