FORM 1023-EZ for 11TH HOUSE RESCUE INC

Field Data
EIN 81-2341352
Case Number EO-2016138-000161
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name 11TH HOUSE RESCUE INC
Organization’s Mailing Address 4475 HIGHWAY 41
City DILLON
State MT
ZIP 59725
Accounting period End 12
Primary contact name ALEXANDRA LUND
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SARAH MULLOWNEY
ASSISTANT DIRECTOR
1439 E HOLLYWOOD AVE
SALT LAKE CITY UT 84105

Officer/Director/Trustee Two

SARAH BASSIT
TREASURER
389 PARK AVE
TORRINGTON CT 06790

Officer/Director/Trustee Three

ALEXANDRA LUND
DIRECTOR
4475 HIGHWAY 41
DILLON MT 59725

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/1/2016
Organization Incorporation State MT
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 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
Signature Title
Signature Date

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