FORM 1023-EZ for TC PIT BULL RESCUE

Field Data
EIN 81-5054820
Case Number EO-2017023-000556
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TC PIT BULL RESCUE
Organization’s Mailing Address 133 3RD AVENUE SOUTH
City SOUTH SAINT PAUL
State MN
ZIP 55075
Accounting period End 12
Primary contact name DANIELLE BOURDEAUX
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DANIELLE BOURDEAUX
DIRECTOR/PRESIDENT
133 3RD AVENUE SOUTH
SOUTH SAINT PAUL MN 55075

Officer/Director/Trustee Two

JACOB SCHANZ
CO- DIRECTOR
133 3RD AVENUE SOUTH
SOUTH SAINT PAUL MN 55075

Officer/Director/Trustee Three

MADISON BLAND
VETERINARY MANAGER
15405 55TH CT N
PLYMOUTH MN 55446

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/20/2017
Organization Incorporation State MN
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: No
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 Yes
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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