FORM 1023-EZ for PITTIE PAW RESCUE

Field Data
EIN 81-1530901
Case Number EO-2016077-000142
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PITTIE PAW RESCUE
Organization’s Mailing Address 3584 S BANK RD NE
City MILLERSPORT
State OH
ZIP 43046
Accounting period End 12
Primary contact name MICHELLE BOWERSMITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MICHELLE BOWERSMITH
EXECUTIVE DIRECTOR/FOUNDER
3584 S BANK RD
MILLERSPORT

Officer/Director/Trustee Two

KRISTIN BEAUPRY
EXECUTIVE DIRECTOR/FOUNDER
14436 DUTCH CROSS
CENTERBURG OH 43011

Officer/Director/Trustee Three

SAVANNAH BOLEY
EXECUTIVE DIRECTOR
66 1ST STREET SW
PATASKALA OH 43062

Officer/Director/Trustee Four

JOYCE MEISENHELDER
EXECUTIVE DIRECTOR
10328 PLEASANT VALLEY RD NE
FRAZEYSBURG OH 43822

Officer/Director/Trustee Five




millersport OH

Organization’s website PITTIEPAWRESCUE.WEEBLY.COM
Organization’s email PITTIEPAWRESCUE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/18/2016
Organization Incorporation State OH
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: No
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 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
Signature Title
Signature Date

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