FORM 1023-EZ for ADEY WILDLIFE REHABILITATION INC

Field Data
EIN 83-0722604
Case Number EO-2018155-000239
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ADEY WILDLIFE REHABILITATION INC
Organization’s Mailing Address 93 DUNN RD
City ASHBURNHAM
State MA
ZIP 1430
Accounting period End 5
Primary contact name DAVID ADEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOANNE ADEY
CEO
93 DUNN RD
ASHBURNHAM MA 1430

Officer/Director/Trustee Two

DAVID M ADEY
PRESIDENT
93 DUNN RD
ASHBURNHAM MA 1430

Officer/Director/Trustee Three

STEPHANIE ADEY
SECRETARY
4 GAVIN CIRCLE
ANDOVER MA 1810

Officer/Director/Trustee Four

DAVID ADEY
TREASURER
4 GAVIN CIRCLE
ANDOVER MA 1810

Officer/Director/Trustee Five

NORAH FERRIE
DIRECTOR
47 WALNUT STREET
RUTLAND MA 1543

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/18/18
Organization Incorporation State MA
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: 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DAVID M ADEY
Signature Title PRESIDENT
Signature Date 5/31/18

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