FORM 1023-EZ for R&S ANIMAL RESCUE & SAFE HAVEN INC

Field Data
EIN 86-1394046
Case Number EO-2021088-000660
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name R&S ANIMAL RESCUE & SAFE HAVEN INC
Organization’s Mailing Address 3759 AUBREY LANE
City PACE
State FL
ZIP 32571
Accounting period End 12
Primary contact name STEPHANIE KIRKPATRICK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBERT NOWLIN JR
PRESIDENT/DIRECTOR
3759 AUBREY LANE
PACE FL 32571

Officer/Director/Trustee Two

STEPHANIE KIRKPATRICK
TREASURER/DIRECTOR
3759 AUBREY LANE
PACE FL 32571

Officer/Director/Trustee Three

JENNIFER MULLER
SECRETARY
2741 COTTONWOOD LANE
PENSACOLA FL 32514

Officer/Director/Trustee Four

ROBIN PAYNE
DIRECTOR
911 BREEZY ACRES ROAD
PENSACOLA FL 32534

Organization’s website WWW.RSANIMALRESCUE.ORG
Organization’s email RSANIMALRESCUE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/7/2021
Organization Incorporation State FL
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 Yes
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 Yes
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 ROBERT NOWLIN JR
Signature Title PRESIDENT/DIRECTOR
Signature Date 2/10/2021

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