FORM 1023-EZ for DESIDERATA RESCUE

Field Data
EIN 81-3587642
Case Number EO-2016256-000274
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DESIDERATA RESCUE
Organization’s Mailing Address 2077 COUNTY ROAD 376
City ANNA
State TX
ZIP 75409
Accounting period End 12
Primary contact name JASON MAYFIELD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MIRIAM KELLY
PRESIDENT
13650 1ST AVE SW
BURIEN WA 98166

Officer/Director/Trustee Two

JASON MAYFIELD
VICE PRESIDENT
2077 COUNTY ROAD 376
ANNA TX 75409

Officer/Director/Trustee Three

DEBORAH COOK
SECRETARY
228 IRICK COURT
AUBREY TX 76227

Officer/Director/Trustee Four

LINDA LIEBMAN
TREASURER
12381 MONTEGO PLAZA
DALLAS TX 75230

Organization’s website DESIDERATARESCUE.COM
Organization’s email DESIDERATARESCUE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/17/2016
Organization Incorporation State TX
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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