FORM 1023-EZ for SOUTHERN WILDLIFE RESCUE AND REHABILITATION INC

Field Data
EIN 84-5113737
Case Number EO-2020216-000218
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SOUTHERN WILDLIFE RESCUE AND REHABILITATION INC
Organization’s Mailing Address 13109 VIDALIA ROAD
City PASS CHRISTIAN
State MS
ZIP 39571
Accounting period End 12
Primary contact name MARGARET MARQUEZ-WOOTEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARGARET MARQUEZ-WOOTEN
PRESIDENT DIRECTOR
13109 VIDALIA ROAD
PASS CHRISTIAN MS 39571

Officer/Director/Trustee Two

SHANNON WOOTEN
SECRETARY TREASURER DIRECTOR
2007 DUNDEE ROAD
OXFORD MS 38655

Officer/Director/Trustee Three

LEO MCDERMOTT
DIRECTOR
130 EDWARD AVENUE
PASS CHRISTIAN MS 39571

Officer/Director/Trustee Four

JOSEPH CHURCH
DIRECTOR
1105 39TH STREET
GULFPORT MS 39501

Officer/Director/Trustee Five

ANN LADNER DVM
DIRECTOR
22146 HIGHWAY 90
SAUCIER MS 39574

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/13/2020
Organization Incorporation State MS
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: 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 MARGARET MARQUEZ-WOOTEN
Signature Title PRESIDENT DIRECTOR
Signature Date 7/29/2020

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