FORM 1023-EZ for MOMMY ME RESCUE

Field Data
EIN 47-1499271
Case Number EO-2014281-000313
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MOMMY ME RESCUE
Organization’s Mailing Address 338 S MARKET STREET
City SHAMOKIN
State PA
ZIP 17872
Accounting period End 12
Primary contact name ERNEST A SPOSTO JR ESQUIRE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CAROL KALINOWSKI
PRES/DIR
338 S MARKET STREET
SHAMOKIN PA 17872

Officer/Director/Trustee Two

DEBORAH SIMPSON
SECR/DIR
532 ROUN AVENUE
WILLIAMSTOWN PA 08094

Officer/Director/Trustee Three

AMY MACHITA
DIR
531 LAYFAYETTE CT
HAZLETON PA 18201

Officer/Director/Trustee Four

ANTHONY KALINOWSKI
DIR
338 S MARKET STREET
SHAMOKIN PA 17872

Officer/Director/Trustee Five

SADIE EISENHART
DIR
1133 POTTSVILLE ST
HERNDON PA 17830

Organization’s website
Organization’s email RESCUE.ME.PA@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/24/2014
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: 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
Signature Title
Signature Date

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