FORM 1023-EZ for DELICIOUS MICKEY GRRRL RESCUE

Field Data
EIN 46-3985112
Case Number EO-2016029-000338
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DELICIOUS MICKEY GRRRL RESCUE
Organization’s Mailing Address 3956 SE FRANKLIN ST
City PORTLAND
State OR
ZIP 97202
Accounting period End 12
Primary contact name DEEDEE REMINGTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DEEDEE REMINGTON
TREASURER/SECRETARY
3956 SE FRANKLIN ST
PORTLAND

Officer/Director/Trustee Two

UTE LUPPERTZ
PRESIDENT
3739 SE 62ND
PORTLAND OR 97206

Officer/Director/Trustee Three

MATT PAVIK
VICE PRESIDENT
9701 SE JOHNSON CREEK APT J301
PORTLAND OR 97086

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/25/2016
Organization Incorporation State OR
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: Yes
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds Yes
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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