FORM 1023-EZ for AHOPHA WILDLIFE RESCUE INC

Field Data
EIN 47-5043107
Case Number EO-2018309-000261
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name AHOPHA WILDLIFE RESCUE INC
Organization’s Mailing Address 240 CORTEZ AVE
City DELEON SPRINGS
State FL
ZIP 32130
Accounting period End 12
Primary contact name GINGER MCCORMICK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TOM SCOTTI
PRESIDENT
240 CORTEZ AVE
DELEON SPRINGS FL 32130

Officer/Director/Trustee Two

SAMANTHA JOEDICKIE
V PRESIDENT
1853 ASBURY ROAD
PACOLET SC 29372

Officer/Director/Trustee Three

KENDRA SCOTTI
SECRETARY
240 CORTEZ AVE
DELEON SPRINGS FL 32130

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/1/15
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D34 - Wildlife Sanctuary, Refuge
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 No
One Third Support Public No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name TOM SCOTTI
Signature Title PRESIDENT
Signature Date 11/1/18
EIN 47-5043107
Case Number EO-2015295-000328
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name AHOPHA WILDLIFE RESCUE INC
Organization’s Mailing Address 240 CORTEZ AVENUE
City DE LEON SPRINGS
State FL
ZIP 32130
Accounting period End 9
Primary contact name TOM SCOTTI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TOM SCOTTI
PRESIDENT
240 CORTEZ AVENUE
DE LEON SPRINGS FL 32130-0508

Officer/Director/Trustee Two

SAMANTHA JOEDICKE
VICE PRESIDENT
1853 ASBURY ROAD
PACOLET SC 29372

Officer/Director/Trustee Three

KENDRA SCOTTI
SECRETARY
6300 CHERRY ROAD
OCALA FL 34472

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/1/2015
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D99 - Animal-Related N.E.C.
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 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
Signature Title
Signature Date

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