FORM 1023-EZ for FRENCH BULLDOG SECOND CHANCE RESCUE

Field Data
EIN 81-2178246
Case Number EO-2016179-000337
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FRENCH BULLDOG SECOND CHANCE RESCUE
Organization’s Mailing Address 2938 AVE F
City COUNCIL BLUFFS
State IA
ZIP 51501
Accounting period End 12
Primary contact name MEGAN GATES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MEGAN GATES
BOARD OF DIRECTOR
2938 AVE F
COUNCIL BLUFFS IA 51501

Officer/Director/Trustee Two

KATHI LULJAK
BOARD OF DIRECTOR
2203 S 10TH ST
MILWUAKEE WI 53215

Officer/Director/Trustee Three

MISSY WEBSTER
BOARD OF DIRECTOR
943 AUDLEY ROAD SOUTH
AJAX

Organization’s website
Organization’s email FBSCRESCUE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/9/2016
Organization Incorporation State IA
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: 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
Signature Title
Signature Date

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