FORM 1023-EZ for MAMA DOG RESCUE

Field Data
EIN 84-2521172
Case Number EO-2019261-000115
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MAMA DOG RESCUE
Organization’s Mailing Address 6791 STONEHEDGE COURT
City WEST BLOOMFIELD
State MI
ZIP 48322
Accounting period End 12
Primary contact name DANIEL J LEHMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DANIEL LEHMAN
DIRECTOR
6791 STONEHEDGE COURT
WEST BLOOMFIELD MI

Officer/Director/Trustee Two

STACEY BUC
DIRECTOR
26053 VIRGINA
WARREN MI

Officer/Director/Trustee Three

MARSHA BRAUNSTEIN
DIRECTOR
6601 BELLOWS COURT
WEST BLOOMFIELD MI 48322

Officer/Director/Trustee Four

SHAINDLE COHEN-BRAUNSTEIN
DIRECTOR
432 S WASHINGTON AVE APT 705
ROYAL OAK MI 48067

Officer/Director/Trustee Five

NECHOMA COHEN
DIRECTIOR
432 S WASHINGTON AVE APT 705
ROYAL OAK MI 48067

Organization’s website
Organization’s email DLEHMAN@INTEGRATEDLAWGROUP.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/15/19
Organization Incorporation State MI
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DANIEL LEHMAN
Signature Title DIRECTOR
Signature Date 9/16/19

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