FORM 1023-EZ for RESCUE K-911 INC

Field Data
EIN 82-1566930
Case Number EO-2017159-000361
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name RESCUE K-911 INC
Organization’s Mailing Address 125 KINGS HIGHWAY
City NORTH HAVEN
State CT
ZIP 06473-3236
Accounting period End 12
Primary contact name AYLA QUEIROGA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

VALDEMAR QUEIROGA
PRESIDENT
125 KINGS HIGHWAY
NORTH HAVEN CT 06473-3236

Officer/Director/Trustee Two

GINA QUEIROGA
VICE PRESIDENT
125 KINGS HIGHWAY
NORTH HAVEN CT 06473-3236

Officer/Director/Trustee Three

AYLA QUEIROGA
CFO
PO BOX 370
BETHLEHEM NH 03574-4518

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/9/2017
Organization Incorporation State CT
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 Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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