FORM 1023-EZ for NORTHSTAR SHIH TZU RESCUE

Field Data
EIN 46-0818687
Case Number EO-2015238-000208
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NORTHSTAR SHIH TZU RESCUE
Organization’s Mailing Address 25 WEST POINT DRIVE
City TONKA BAY
State MN
ZIP 55331
Accounting period End 12
Primary contact name LIN ECKLAND
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LINDA ECKLAND
PRESIDENT
25 WEST POINT DRIVE
TONKA BAY MN 55331

Officer/Director/Trustee Two

CATHY COVINGTON
TREASURER
7225 WHITEHALL RD
SHAKOPEE MN 55379

Officer/Director/Trustee Three

CINDY JUNJAK
SECRETARY
3790 DREXEL COURT
EAGAN MN 55123

Organization’s website WWW.NORTHSTARSHIHTZURESCUE.ORG
Organization’s email NORTHSTARSHIHTZURESCUE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/20/2012
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D99 - Animal-Related N.E.C.
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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