FORM 1023-EZ for DOG TOWN RESCUE

Field Data
EIN 47-1272902
Case Number EO-2014280-000147
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DOG TOWN RESCUE
Organization’s Mailing Address 193 COMICE COURT
City TELFORD
State PA
ZIP 18969-2185
Accounting period End 12
Primary contact name NADIA ADAWI ESQ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JENNIFER JOSEPH
PRESIDENT
193 COMICE COURT
TELFORD PA 18969-2185

Officer/Director/Trustee Two

KARINA SHARMA
VICE PRESIDENT
95 PALACE COURT
CHALFONT PA 18914-2243

Officer/Director/Trustee Three

CAITLYN MELLOR
SECRETARY
2930 GILHAM STREET
PHILADELPHIA PA 19149-3018

Officer/Director/Trustee Four

MEGAN KELLY
TREASURER
4110 HELLERMAN STREET
PHILADELPHIA PA 19135-2521

Officer/Director/Trustee Five

STACEY CLEMENS
BOARD MEMBER
2279 WALNUT STREET
COLMAR PA 18915-9409

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/9/2014
Organization Incorporation State PA
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 Yes
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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