FORM 1023-EZ for OPIE ACRES WILDLIFE AND OPOSSUM REHABILITATION

Field Data
EIN 84-2271940
Case Number EO-2019190-000161
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name OPIE ACRES WILDLIFE AND OPOSSUM REHABILITATION
Organization’s Mailing Address 3936 CHURCHILL ROAD
City CHATTANOOGA
State TN
ZIP 37406
Accounting period End 12
Primary contact name JERRY HARVEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JERRY HARVEY
PRESIDENT/DIRECTOR
3936 CHURCHILL ROAD
CHATTANOOGA TN 37406

Officer/Director/Trustee Two

FRAN HIESTAND
DIRECTOR
8935 N HICKORY VALLEY ROAD
CHATTANOOGA TN 37421

Officer/Director/Trustee Three

LARISSA KENT
DIRECTOR
69 VILLAGE GREEN DR NW
CLEVELAND TN 37312

Officer/Director/Trustee Four

STEFANIE SULLIVAN
DIRECTOR
910 BROOKRUN DRIVE
HIXSON TN 37343

Officer/Director/Trustee Five

CERA ODELL
DIRECTOR
7255 LEE HIGHWAY APT 703
HIXSON TN 37343

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/24/19
Organization Incorporation State TN
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: 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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JERRY HARVEY
Signature Title PRESIDENT/DIRECTOR
Signature Date 7/4/19

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