FORM 1023-EZ for MOUNTAIN VIEW ANIMAL RESCUE

Field Data
EIN 81-1441342
Case Number EO-2016067-000359
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MOUNTAIN VIEW ANIMAL RESCUE
Organization’s Mailing Address 4088 E GALVIN STREET
City CAVE CREEK
State AZ
ZIP 85331
Accounting period End 12
Primary contact name CARLENE LOWRY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DOMINIC SCOLA
DIRECTOR PRESIDENT
4088 E GALVIN ST
CAVE CREEK AZ 85331

Officer/Director/Trustee Two

JEANNIE POUND FORST
DIRECTOR TREASURER
29640 N 57TH STREET
CAVE CREEK AZ 85331

Officer/Director/Trustee Three

KAREN SEAMAN GALBREATH
DIRECTOR SECRETARY
31610 N 47TH TERRACE
CAVE CREEK AZ 85331

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/28/2016
Organization Incorporation State AZ
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
Signature Title
Signature Date

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