FORM 1023-EZ for FOREVER YOURS DOG RESCUE INC

Field Data
EIN 45-3851948
Case Number EO-2015161-000570
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FOREVER YOURS DOG RESCUE INC
Organization’s Mailing Address 15208 MEGAN CIRCLE
City OKLAHOMA CITY
State OK
ZIP 73170-7532
Accounting period End 12
Primary contact name MICHELLE RAY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MICHELLE RAY
EXECUTIVE DIRECTOR
15208 MEGAN CIRCLE
OKLAHOMA CITY OK 73170-7532

Officer/Director/Trustee Two

DENISE DIPZINSKI
FOSTER COORDINATOR
3104 SW 105TH TERRACE
OKLAHOMA CITY OK 73170-2527

Officer/Director/Trustee Three

KIM VILLA
BOARD MEMBER
608 MADELINE LANE
MOORE OK 73160-0003

Officer/Director/Trustee Four

LADONNA HURST
BOARD MEMBER
329 SE 64TH ST
OKLAHOMA CITY OK 73149-1303

Officer/Director/Trustee Five

BETH CONSTANCE
BOARD MEMBER
1416 MAYER DR
YUKON OK 73099-7686

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/29/2011
Organization Incorporation State OK
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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