FORM 1023-EZ for STEAD WILDLIFE RESCUE REHAB INC

Field Data
EIN 87-1920444
Case Number EO-2021214-000354
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name STEAD WILDLIFE RESCUE REHAB INC
Organization’s Mailing Address 215 E 2ND STREET
City TIFTON
State GA
ZIP 31794
Accounting period End 12
Primary contact name JESSICA PISCIOTTA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TYLER BOYKIN
BOARD PRESIDENT
2201 HALL AVENUE
TIFTON GA 31794

Officer/Director/Trustee Two

ALEX FULLER
BOARD VICE PRESIDENT
4850 STARFIRE DRIVE
VALDOSTA GA 31605

Officer/Director/Trustee Three

SARAH PEACOCK
BOARD TREASURER
315 SHADE MURPHY RD
MOULTRIE GA 31768

Officer/Director/Trustee Four

TIFFANY LAMB
BOARD SECRETARY
2806 CIRCLE DRIVE
TIFTON GA 31793

Officer/Director/Trustee Five

CHARLA FUTRILL
BOARD OFFICER
91 ACADEMY DR LOT 2
CHULA GA 31733

Organization’s website
Organization’s email STEADFASTWILDLIFERESCUE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/27/2021
Organization Incorporation State GA
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: 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 Yes
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 TYLER BOYKIN
Signature Title BOARD PRESIDENT
Signature Date 7/29/2021

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