FORM 1023-EZ for REBELLION DOG RESCUE

Field Data
EIN 84-1754861
Case Number EO-2019164-000167
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name REBELLION DOG RESCUE
Organization’s Mailing Address 9473 KAPLAN AVE
City BRENTWOOD
State TN
ZIP 37027
Accounting period End 12
Primary contact name KYLIE HADDEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KYLIE HADDEN
PRESIDENT
9473 KAPLAN AVE
BRENTWOOD TN 37027

Officer/Director/Trustee Two

KELSEY HOLZER
VICE-PRESIDENT
2820 BLUESTEM LANE
MURFREESBORO TN 37128

Officer/Director/Trustee Three

COREY HADDEN
TREASURER
9473 KAPLAN AVE
BRENTWOOD TN 37027

Officer/Director/Trustee Four

CHRISTOPHER HOLZER
SECRETARY
2820 BLUESTEM LANE
MURFREESBORO TN 37128

Organization’s website
Organization’s email REBELLIONDOGRESCUE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/30/19
Organization Incorporation State TN
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 Yes
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 KYLIE HADDEN
Signature Title PRESIDENT
Signature Date 6/11/19

Recently Saved Organizations

Click on the save icon from a search results or organization page.