FORM 1023-EZ for SAVING GRACE DOG RESCUE OF SAN ANTONIO

Field Data
EIN 47-4079463
Case Number EO-2015162-000354
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SAVING GRACE DOG RESCUE OF SAN ANTONIO
Organization’s Mailing Address 6990 TEZEL ROAD
City SAN ANTONIO
State TX
ZIP 78250-3506
Accounting period End 12
Primary contact name YVONNE MICHALCZAK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

EILEEN HUNTER
PRESIDENT/DIRECTOR
13622 PRINCES KNLS
SAN ANTONIO TX 78231-1947

Officer/Director/Trustee Two

SANDY POWERS
VICE PRESIDENT/DIRECTOR
3942 KNOLLWOOD
SAN ANTONIO TX 78247-2181

Officer/Director/Trustee Three

YVONNE MICHALCZAK
SECRETARY-TREASURER/DIRECTOR
6990 TEZEL ROAD
SAN ANTONIO TX 78250-3506

Officer/Director/Trustee Four

VALERIE MOCZYGEMBA
DIRECTOR
1023 ARROYA VISTA DRIVE
SAN ANTONIO TX 78213-3702

Officer/Director/Trustee Five

KYRA LLOYD
DIRECTOR
208 CANYON LOOP
BOERNE TX 78006

Organization’s website
Organization’s email SGDRSA@OUTLOOK.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/4/2015
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: No
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 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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