FORM 1023-EZ for LIVE-LOVE-WAG PET RESCUE ADOPTION SERVICES CENTER

Field Data
EIN 47-5007107
Case Number EO-2015364-000179
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LIVE-LOVE-WAG PET RESCUE ADOPTION SERVICES CENTER
Organization’s Mailing Address 43086 SUNSET LN
City AINSWORTH
State NE
ZIP 69210-1995
Accounting period End 1
Primary contact name LORI GANSER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MYRNA JAKOB
PRESIDENT
341 S OSBORNE ST
AINSWORTH NE 69210-1706

Officer/Director/Trustee Two

CANDANCE FERNAU
VICE PRESIDENT
821 E 3RD ST
AINSWORTH NE 69210-1629

Officer/Director/Trustee Three

RETHA REAGAN
SECRETARY
206 S SHERRILL ST
ATKINSON NE 68713-4967

Officer/Director/Trustee Four

LORI GANSER
TREASURER
43086 SUNSET LN
AINSWORTH NE 69210-1995

Officer/Director/Trustee Five

ANITA HEMPEL
TRUSTEE
340 W 7TH ST
AINSWORTH NE 69210-1013

Organization’s website
Organization’s email LIVE.LOVE.WAG2015@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/28/2015
Organization Incorporation State NE
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 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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