FORM 1023-EZ for PASSIONATE PAWS DOG RESCUE

Field Data
EIN 86-2694528
Case Number EO-2021099-001035
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PASSIONATE PAWS DOG RESCUE
Organization’s Mailing Address 347 PURVIS AVE
City BREMEN
State OH
ZIP 43107
Accounting period End 12
Primary contact name REGINA SMALLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

REGINA SMALLEY
PRESIDENT
347 PURVIS
BREMEN OH 43107

Officer/Director/Trustee Two

MADISON EGGLESTON
VICE PRESIDENT
13950 STATE ROUTE 664 S
LOGAN OH 43138

Officer/Director/Trustee Three

MELINDA WHITCRAFT
SECRETARY
1622 VALLEY VIEW DR
LOGAN OH 43138

Officer/Director/Trustee Four

LOREN SMYERS
TREASURER
5902 TOWNSHIP ROAD 430
LOGAN OH 43138

Officer/Director/Trustee Five

JOVETTA HAMPTON
FUNDRAINING COORDINATOR
11759 ST RT 93 N
LOGAN OH 43138

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/18/2021
Organization Incorporation State OH
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 REGINA SMALLEY
Signature Title PRESIDENT
Signature Date 3/18/2021

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