FORM 1023-EZ for ROXXYS K9 RESCUE

Field Data
EIN 81-1970799
Case Number EO-2020066-000359
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ROXXYS K9 RESCUE
Organization’s Mailing Address P O BOX 762482
City SAN ANTONIO
State TX
ZIP 78245
Accounting period End 12
Primary contact name JAMESA HILL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMESA HILL
FOUNDER DIRECTOR
9922 MAGNOLIA RUN
SAN ANTONIO TX 78251

Officer/Director/Trustee Two

ANITA DUARTE
TRUSTEE
11413 CLINTS WELL
SAN ANTONIO TX 78245

Officer/Director/Trustee Three

JEFFREY WILLIAMS
TRUSTEE
8623 LEDGESIDE
SAN ANTONIO TX 78252

Officer/Director/Trustee Four

PEARL SMITH
MEMBER
4807 LUZ AVE
SAN ANTONIO TX 78237

Officer/Director/Trustee Five

ROBIN COTTEN
MEMBER
9922 MAGNOLIA RUN
SAN ANTONIO TX 78251

Organization’s website HTTP://ROXXYSK9RESCUE.ORG
Organization’s email ROXYSRESCUE@YAHOO.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/13/2016
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W12 - Fund Raising and/or Fund Distribution
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JAMESA HILL
Signature Title FOUNDER DIRECTOR
Signature Date 3/4/2020
EIN 81-1970799
Case Number EO-2016102-000249
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ROXXYS K9 RESCUE
Organization’s Mailing Address P O BOX 762482
City SAN ANTONIO
State TX
ZIP 78245
Accounting period End 12
Primary contact name ROBIN E COTTEN - DIRECTOR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JAMESA HILL
DIRECTOR
9922 MAGNOLIA RUN
SAN ANTONIO TX 78251-4356

Officer/Director/Trustee Two

MINERVA LOPEZ
DIRECTOR
9935 MAGNOLIA RIVER
SAN ANTONIO TX 78251-4356

Officer/Director/Trustee Three

ROBIN COTTEN
D
9922 MAGNOLIA RUN
SAN ANTONIO TX 78251-4356

Organization’s website HTTPS://ROXYSK9RESCUE.ORG
Organization’s email ROXYSRESCUE@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/3/2016
Organization Incorporation State TX
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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