FORM 1023-EZ for GM SOLBERG WIDLIFE RESCUE

Field Data
EIN 81-4899715
Case Number EO-2020255-000089
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GM SOLBERG WIDLIFE RESCUE
Organization’s Mailing Address 850 3RD AVE W
City LOW MOOR
State IA
ZIP 52757
Accounting period End 12
Primary contact name LYNDSI FRAHM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LYNDSI FRAHM
PRESIDENT
850 3RD AVE W
LOW MOOR IA 52757

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/9/2017
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D60 - Other Services - Specialty Animals
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name LYNDSI FRAHM
Signature Title PRESIDENT
Signature Date 9/9/2020
EIN 81-4899715
Case Number EO-2017159-000444
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GM SOLBERG WILDLIFE RESCUE
Organization’s Mailing Address 2219 NW BAYBERRY LN
City ANKENY
State IA
ZIP 50023
Accounting period End 12
Primary contact name HEATHER KERENS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HEATHER KERENS
PRESIDENT
2219 NW BAYBERRY LN
ANKENY IA 50023

Officer/Director/Trustee Two

LYNDSI FRAHM
VICE PRESIDENT
820 11TH AVE S
CLINTON IA 52732

Organization’s website WWW.GMSOLBERGWILDLIFE.ORG
Organization’s email GMSOLBERGWILDLIFE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/9/2017
Organization Incorporation State IA
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: 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 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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