FORM 1023-EZ for BUCKEYE BASSET HOUND RESCUE

Field Data
EIN 81-2821186
Case Number EO-2016330-000275
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BUCKEYE BASSET HOUND RESCUE
Organization’s Mailing Address 5163 RUTLEDGE DR N
City COLUMBUS
State OH
ZIP 43232
Accounting period End 12
Primary contact name BONNIE PATTERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BONNIE PATTERSON
DIRECTOR
5163 RUTLEDGE DR N
COLUMBUS OH 43232

Officer/Director/Trustee Two

JANET PRIOR
VICE PRESIDENT
4108 STONEROOT DR
HILLIARD OH 43026

Officer/Director/Trustee Three

BRENDA PURTIMAN
SECRETARY
420 PURVIS AVE
BREMEN OH 43107

Officer/Director/Trustee Four

KATRINA GRAHAM
TREASURER
11001 KIOUSVILLE PALESTINE RD
MOUNT STERLING OH 43143

Officer/Director/Trustee Five

CINDY ARTINO
MEMBER
200 RAVENNA ST
HUDSON OH 44236

Organization’s website WWW.BUCKEYEBASSETRESCUE.ORG
Organization’s email BUCKEYEBASSETRESCUE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/1/2016
Organization Incorporation State OH
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: 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 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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