FORM 1023-EZ for ONCE LOST NOW FOUND DOG RESCUE

Field Data
EIN 83-1371936
Case Number EO-2018212-000151
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ONCE LOST NOW FOUND DOG RESCUE
Organization’s Mailing Address PO BOX 136
City JEFFERSONVILLE
State NY
ZIP 12748
Accounting period End 12
Primary contact name KIM BREIHOF
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KIM BREIHOF
PRESIDENT
63 JEFFERSON AVE
JEFFERSONVILLE NY 12748

Officer/Director/Trustee Two

ERIC BREIHOF
VICE PRESIDENT
63 JEFFERSON AVE
JEFFERSONVILLE NY 12748

Officer/Director/Trustee Three

BARBARA ANDERSON
TREASURER
68 HARRIS-BUSHVILLE RD
HARRIS NY 12742

Officer/Director/Trustee Four

DARLENE GATTUS
SECRETARY
PO BOX 386
JEFFERSONVILLE NY 12748

Officer/Director/Trustee Five

LOVENA BREIHOF
TRUSTEE
5014 STATE ROUTE 52
JEFFERSONVILLE NY 12748

Organization’s website
Organization’s email ONCELOSTNOWFOUNDDOGRESCUE@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/29/18
Organization Incorporation State NY
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 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 KIM BREIHOF
Signature Title PRESIDENT
Signature Date 7/29/18

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