FORM 1023-EZ for TRUE-BLUE PET RESCUE

Field Data
EIN 84-1991513
Case Number EO-2019164-000357
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TRUE-BLUE PET RESCUE
Organization’s Mailing Address 19521 E LINVALE DRIVE
City AURORA
State CO
ZIP 80013
Accounting period End 12
Primary contact name JOLIE HENDRICKS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOLIE HENDRICKS
PRESIDENT
19521 EAST LINVALE DRIVE
AURORA CO 80013

Officer/Director/Trustee Two

RHONDA PYLICAN
TREASURER
13531 ALBION CIRCLE
THORTON CO 80241

Officer/Director/Trustee Three

JOANNA VAN GIESON
SECRETARY
3805 S CEYLON WAY
AURORA CO 80013

Officer/Director/Trustee Four

KATELYNN FONTENOT
DIRECTOR
613 HOOVER AVE
FT LUPTON CO 80621

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/11/19
Organization Incorporation State CO
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 JOLIE HENDRICKS
Signature Title PRESIDENT
Signature Date 6/11/19

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