FORM 1023-EZ for DAVIDS RESCUE MISSION INC

Field Data
EIN 81-2608647
Case Number EO-2019339-000511
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DAVIDS RESCUE MISSION INC
Organization’s Mailing Address 9 SUNRISE DR
City KINGSTON
State MA
ZIP 02364
Accounting period End 12
Primary contact name GEORGE ROSE JR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GEORGE ROSE JR
PRESIDENT/DIRECTOR
9 SUNRISE DR
KINGSTON MA 02364

Officer/Director/Trustee Two

SUSAN LOGAN
DIRECTOR
49 SUFFOLK RD
WELLSLEY MA 02481

Officer/Director/Trustee Three

ADRIENNE CURRAN
DIRECTOR
273 BISHOPS HIGHWAY
KINGSTON MA 02364

Officer/Director/Trustee Four

MARK DORION
DIRECTOR
840 ESPOLON DR
EL PASO TX 79912

Organization’s website
Organization’s email CONTACTROSE@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/12/2016
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Q33 - International Relief
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
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 Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name GEORGE ROSE JR
Signature Title PRESIDENT/DIRECTOR
Signature Date 12/3/2019
EIN 81-2608647
Case Number EO-2016161-000262
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DAVIDS RESCUE MISSION INC
Organization’s Mailing Address 9 SUNRISE DR
City KINGSTON
State MA
ZIP 02364-1358
Accounting period End 12
Primary contact name GEORGE A ROSE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

GEORGE ROSE JR
PRESIDENT
9 SUNRISE DR
KINGSTON MA 02364-1358

Officer/Director/Trustee Two

SUSAN LOGAN
DIRECTOR
49 SUFFOLK RD
WELLESLEY MA 02481-2610

Officer/Director/Trustee Three

ADRIENNE CURRAN
DIRECTOR
273 BISHOPS HIGHWAY
KINGSTON MA 02364

Officer/Director/Trustee Four

MARK DORIAN
DIRECTOR
840 ESPOLON DR
EL PASO TX 79912-1707

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/12/2016
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Q33 - International Relief
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 Yes
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
Signature Title
Signature Date

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