FORM 1023-EZ for SAVING SULLY DOG RESCUE INC

Field Data
EIN 83-2767195
Case Number EO-2019030-000056
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SAVING SULLY DOG RESCUE INC
Organization’s Mailing Address 1143 POPPY LN
City WINNECONNE
State WI
ZIP 54986
Accounting period End 12
Primary contact name MARIAH STIEMSMA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SAMANTHA RICHARDS
PRESIDENT
1143 POPPY LN
WINNECONNE WI 54986

Officer/Director/Trustee Two

JESSICA WEGNER
VICE PRESIDENT
W6827 N EASTWOOD ST
VAN DYNE WI 54979

Officer/Director/Trustee Three

MARIAH STIEMSMA
DEVELOPMENT DIRECTOR
600 CAMPUS DR 870
RIPON WI 54971

Officer/Director/Trustee Four

KATIE ILGEN
TREASURER
173 ROSE AVE
FOND DU LAC WI 54935

Officer/Director/Trustee Five

AMBER BOSE
SECRETARY
182 W 25TH AVE
OSHKOSH WI 54902

Organization’s website WWW.SAVINGSULLY.ORG
Organization’s email DIRECTORS@SAVINGSULLY.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/10/18
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: No
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 MARIAH STIEMSMA
Signature Title DEVELOPMENT DIRECTOR
Signature Date 12/20/18

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