FORM 1023-EZ for RESCUED ROTTS BY SCOOBY-JACK INC

Field Data
EIN 81-1536390
Case Number EO-2017264-000211
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name RESCUED ROTTS BY SCOOBY-JACK INC
Organization’s Mailing Address 1312 MAPLE ST
City LAMARQUE
State TX
ZIP 77568
Accounting period End 12
Primary contact name CAROLYN ZEMBRODT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STACY LEE
DIRECTOR
1312 MAPLE ST
LAMARQUE TX 77568

Officer/Director/Trustee Two

CAROLYN ZEMBRODT
DIRECTOR
419 MORRIS ROAD
FT WRIGHT KY 41011

Officer/Director/Trustee Three

CHRISTINE SCHNITZER
DIRECTOR
15303 LAPALOMA DR
HOUSTON TX 77083

Officer/Director/Trustee Four

KELLY LEE
DIRECTOR
1312 MAPLE ST
LAMARQUE TX 77568

Organization’s website
Organization’s email SLEE735@COMCAST.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/22/2016
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D20 - Animal Protection and Welfare
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 Yes
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 Yes
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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