FORM 1023-EZ for BOBBIES PIT BULL RESCUE AND SANCTUARY INC

Field Data
EIN 81-1229618
Case Number EO-2016041-000305
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BOBBIES PIT BULL RESCUE AND SANCTUARY INC
Organization’s Mailing Address 14210 LONESOME PINE ROAD
City SPOTSYLVANIA
State VA
ZIP 22551
Accounting period End 12
Primary contact name SILVIA KRIEGLSTEIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SILVIA KRIEGLSTEIN
DIRECTOR
14210 LONESOME PINE ROAD
SPOTSYLVANIA VA 22551

Officer/Director/Trustee Two

ANN-MARIE JOHNSON
ASSISTANT DIRECTOR
4600 KENWOOD DRIVE
WOODBRIDGE VA 22193

Officer/Director/Trustee Three

JENNIFER MCPHERSON
TREASURER
14313 BISMARK AVE
DALE CITY VA 22193

Officer/Director/Trustee Four

KIMBERLY CLATTERBUCK
SECRETARY
7244 RIDGEWAY DRIVE
MANASSAS VA 20112

Officer/Director/Trustee Five

DELYNN HOLDEN
BOARD MEMBER
26 WALKER WAY
STAFFORD VA 22554

Organization’s website BOBBIESPITRESCUE.ORG
Organization’s email BOBBIESPITRESCUE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/20/2016
Organization Incorporation State VA
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 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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