FORM 1023-EZ for DOG SAVER RESCUE

Field Data
EIN 82-4451588
Case Number EO-2018068-000130
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DOG SAVER RESCUE
Organization’s Mailing Address 6630 HWY AJ
City WASHINGTON
State MO
ZIP 63090
Accounting period End 12
Primary contact name CYNTHIA FALTEMIER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CYNTHIA FALTEMIER
PRESIDENT
6630 HWY AJ
WASHINGTON MO 63090

Officer/Director/Trustee Two

DOUGLAS FALTEMIER
VICE PRESIDENT
6630 HWY AJ
WASHINGTON MO 63090

Officer/Director/Trustee Three

LINDA WOODS
SECRETARY
38 CEDAR BROOK
PACIFIC MO 63069

Officer/Director/Trustee Four

ASHLEY FINDER
TREASURER
2280 HWY A
WASHINGTON MO 63090

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/1/18
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D99 - Animal-Related N.E.C.
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 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 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 CYNTHIA FALTEMIER
Signature Title PRESIDENT
Signature Date 3/7/18

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