FORM 1023-EZ for MAXI DOG RESCUE INC

Field Data
EIN 84-2580185
Case Number EO-2019252-000369
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MAXI DOG RESCUE INC
Organization’s Mailing Address 18151 SW 22ND STREET
City MIRAMAR
State FL
ZIP 33029-5112
Accounting period End 12
Primary contact name FABIAN ANGELIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

FABIAN ANGELIS
PRESIDENT
18151 SW 22 STREET
MIRAMAR FL 33029-5112

Officer/Director/Trustee Two

SILVIA ANGELIS
DIRECTOR
18151 SW 22ND STREET
MIRAMAR FL 33029-5112

Officer/Director/Trustee Three

JUANA ANGELIS
SECRETARY
595 ABINGDON WAY
DAVIE FL 33025

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/31/19
Organization Incorporation State FL
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: No
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 Yes
Conducting Activities Outside of United States Yes
Financial transactions with officers Yes
Unrelated Gross Income $1,000 or More Yes
Gaming Activity No
Disaster relief assistance Yes
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 FABIAN ANGELIS
Signature Title PRESIDENT
Signature Date 9/6/19

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