FORM 1023-EZ for OPERATION SAVE A SHELTER DOG

Field Data
EIN 47-4113586
Case Number EO-2015202-000238
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name OPERATION SAVE A SHELTER DOG
Organization’s Mailing Address 27133 DOGWOOD BEND RD
City FRANKLIN
State VA
ZIP 23851
Accounting period End 12
Primary contact name RYAN NICOLE VANN GIBBS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

RYAN NICOLE VANN GIBBS
FOUNDER/PRESIDENT
27133 DOGWOOD BEND RD
FRANKLIN VA 23851

Officer/Director/Trustee Two

JULIA BUIE
VICE PRESIDENT
6150 W BLACKWATER RD
ZUNI VA 23898

Officer/Director/Trustee Three

LEIGH ANN ERDMAN
ASSOCIATE VICE PRESIDENT
12325 SIX PONDS LANE
SMITHFIELD VA 23430

Organization’s website
Organization’s email OPERATIONSAVEASHELTERSOG@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/19/2015
Organization Incorporation State VA
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 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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