FORM 1023-EZ for NEGRIL PUP RESCUE

Field Data
EIN 83-4584860
Case Number EO-2019144-000181
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NEGRIL PUP RESCUE
Organization’s Mailing Address 5432 7TH AVENUE SOUTH
City BIRMINGHAM
State AL
ZIP 53212
Accounting period End 12
Primary contact name GAYLA SCHULTZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GAYLA SCHULTZ
VICE PRESIDENT AND TREASURER
5432 7TH AVENUE SOUTH
BIRMINGHAM AL 53212

Officer/Director/Trustee Two

DOMINIC CHAPMAN
PRESIDENT
5509 6TH COURT SOUTH
BIRMINGHAM AL 35212

Officer/Director/Trustee Three

SUZY AHERNS
SECRETARY
1435 JEFFERSON AVENUE
ST PAUL MN 55105

Officer/Director/Trustee Four

CHRISTINA SAKERS
MARKETING AND FUNDRAISING
111 VALLEY GREEN DRIVE
ASTON PA 19014

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/29/19
Organization Incorporation State AL
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: Yes
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 GAYLA SCHULTZ
Signature Title VICE PRESIDENT AND TREASURER
Signature Date 5/22/19

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