FORM 1023-EZ for APPALACHIAN WILDLIFE RESEARCH INSTITUTE INC

Field Data
EIN 83-3420924
Case Number EO-2019039-000617
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name APPALACHIAN WILDLIFE RESEARCH INSTITUTE INC
Organization’s Mailing Address 7980 LONG RUN ROAD
City ATHENS
State OH
ZIP 45701
Accounting period End 12
Primary contact name JONATHAN C DEHMLOW
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBERT PLACIER
DIRECTOR
32840 JOURDEN ROAD
ALBANY OH 45710

Officer/Director/Trustee Two

KORI GASAWAY
DIRECTOR
5471 BANEBERRY AVENUE
COLUMBUS OH 43235

Officer/Director/Trustee Three

WILLIAM LETSCHE
DIRECTOR
514 REDBIRD LANE
CHILLICOTHE OH 45601

Officer/Director/Trustee Four

DEVON SHOEMAKER
DIRECTOR
235 HIRN STREET
ATHENS OH 45701

Officer/Director/Trustee Five

SUZANNE PRANGE
OFFICER
7980 LONG RUN ROAD
ATHENS OH 45701

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/4/19
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D30 - Wildlife Preservation, Protection
Organization’s purpose Charitable: Yes
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 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name SUZANNE PRANGE
Signature Title OFFICER
Signature Date 2/4/19

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