FORM 1023-EZ for PETAL WILDLIFE

Field Data
EIN 87-1107023
Case Number EO-2021260-000099
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PETAL WILDLIFE
Organization’s Mailing Address 1172 ORLEANS DR
City MUNDELEIN
State IL
ZIP 60060
Accounting period End 12
Primary contact name DEEKSHA VISHWAMITRA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEEKSHA VISHWAMITRA
PRESIDENT
1172 ORLEANS DR
MUNDELEIN IL 60060

Officer/Director/Trustee Two

NIRMALA RAMACHANDRA RAO
TREASURER
47 STRAWFLOWER ST
LADERA RANCH CA 92694

Officer/Director/Trustee Three

NIRMALA RAMACHANDRA RAO
SECRETARY
47 STRAWFLOWER ST
LADERA RANCH CA 92694

Officer/Director/Trustee Four

DIVYA APTE
VICE PRESIDENT
43 ST JUST ST
LADERA RANCH CA 92694

Organization’s website NA
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/9/2021
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D31 - Protection of Endangered Species
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DEEKSHA VISHWAMITRA
Signature Title PRESIDENT
Signature Date 6/12/2021

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