FORM 1023-EZ for K9 TO 5 RESCUE INC

Field Data
EIN 46-5558902
Case Number EO-2021085-000679
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name K9 TO 5 RESCUE INC
Organization’s Mailing Address 21 GAME FARM RD
City CATSKILL
State NY
ZIP 12414
Accounting period End 12
Primary contact name JENNIFER GAMBINO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JENNIFER GAMBINO
PRESIDENT
21 GAME FARM RD
CATSKILL NY 12414

Officer/Director/Trustee Two

NINA SOROCHYNSKYJ
VICE PRESIDENT
2009 BEACH LAKE HIGHWAY
BEACH LAKE PA 18405

Officer/Director/Trustee Three

KARA SCHAEFFER
SECERTARY
780 WELTON RD
HARPURSVILLE NY 13787

Organization’s website
Organization’s email K9TO5RESCUEINC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/8/2014
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D61 - Animal Training, Behavior
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JENNIFER GAMBINO
Signature Title PRESIDENT
Signature Date 2/4/2021

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