FORM 1023-EZ for PINE TREE HILL WILDLIFE RESCUE

Field Data
EIN 81-4591938
Case Number EO-2017003-000443
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PINE TREE HILL WILDLIFE RESCUE
Organization’s Mailing Address 1510 NORDEN DRIVE
City CAMDEN
State SC
ZIP 29020
Accounting period End 12
Primary contact name MARGARET BUCKELEW
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARGARET BUCKELEW
DIRECTOR
1510 NORDEN DRIVE
CAMDEN SC 29020

Officer/Director/Trustee Two

SHERRA SCOTT
OFFICER
10 LUPINE CT
ELGIN SC 29045

Officer/Director/Trustee Three

LESLIE ROSCOE
OFFICER
206 FAIR STREET
BETHUNE SC 29009

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/2017
Organization Incorporation State SC
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: 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 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
Signature Title
Signature Date

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