FORM 1023-EZ for SALVATION ANIMAL RESCUE

Field Data
EIN 81-5003796
Case Number EO-2017023-000387
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SALVATION ANIMAL RESCUE
Organization’s Mailing Address 196 STONE DRIVE
City LUFKIN
State TX
ZIP 75904
Accounting period End 12
Primary contact name DIANNA HALE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL NUNN
CHAIRMAN
902 MANTOOTH AVE
LUFKIN TX 75904

Officer/Director/Trustee Two

DIANNA HALE
VICE CHAIR
196 STONE DRIVE
LUFKIN TX 75904

Officer/Director/Trustee Three

YVONNE CLARK
TREASURER
577 OSCAR BERRY ROAD
LUFKIN TX 75904

Officer/Director/Trustee Four

PAMELA SMITH
SECRETARY
577 OSCAR BERRY ROAD
LUFKIN TX 75904

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/9/2017
Organization Incorporation State TX
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 Yes
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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