FORM 1023-EZ for MOUNTAIN STATE REPTILE RESCUE

Field Data
EIN 86-1502870
Case Number EO-2021091-001080
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MOUNTAIN STATE REPTILE RESCUE
Organization’s Mailing Address 1663 RITTER BLVD
City HUNTINGTON
State WV
ZIP 25701
Accounting period End 12
Primary contact name ANDREW MCKEE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANDREW MCKEE
DIRECTOR
1663 RITTER BLVD
HUNTINGTON WV 25701

Organization’s website WWW.MOUNTAINSTATERESCUE.ORG
Organization’s email ANDY@MOUNTAINSTATERESCUE.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/8/2021
Organization Incorporation State WV
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: Yes
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
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 ANDREW MCKEE
Signature Title DIRECTOR
Signature Date 2/22/2021

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