FORM 1023-EZ for BLACK PHASE RESCUE WOLFDOG SANCTUARY INC

Field Data
EIN 82-0706421
Case Number EO-2017303-000073
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BLACK PHASE RESCUE WOLFDOG SANCTUARY INC
Organization’s Mailing Address 39484 WILSON WAY
City PINE GROVE
State LA
ZIP 70453
Accounting period End 12
Primary contact name ELIZABETH KLING
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ELIZABETH KLING
PRES
39484 WILSON WAY
PINE GROVE LA 70453

Officer/Director/Trustee Two

JARED KLING
TRES
39484 WILSON WAY
PINE GROVE LA 70453

Officer/Director/Trustee Three

NATASHA TRAHAN
SEC
159 PINE STREET
PORT BARRE LA 70577

Officer/Director/Trustee Four

JOHN DEBOARD
VICE PRES
31416 COUNTY RD 124
CHESAPEAKE OH 45619

Organization’s website BLACKPHASERESCUE.WEEBLY.COM
Organization’s email ELIZABETHKLING1@LIVE.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/26/2017
Organization Incorporation State LA
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: 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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