FORM 1023-EZ for THE RESCUE AT WILLOW HAVEN INC

Field Data
EIN 87-1249961
Case Number EO-2021223-000204
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE RESCUE AT WILLOW HAVEN INC
Organization’s Mailing Address 6128 POLLARD AVE
City EAST LANSING
State MI
ZIP 48823
Accounting period End 12
Primary contact name ASHLEY KELLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ASHLEY KELLEY
PRES&TREAS&SEC&DIR&OWN
6128 POLLARD AVE
EAST LANSING MI 48823

Organization’s website
Organization’s email WILLOWHAVENAS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/16/2021
Organization Incorporation State MI
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: 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 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 ASHLEY KELLEY
Signature Title PRES&TREAS&SEC&DIR&OWN
Signature Date 8/9/2021

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