FORM 1023-EZ for DOWN AND OUT DELTA PAWS RESCUE

Field Data
EIN 82-2607751
Case Number EO-2017261-000096
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DOWN AND OUT DELTA PAWS RESCUE
Organization’s Mailing Address P O BOX 517
City RULEVILLE
State MS
ZIP 38771
Accounting period End 12
Primary contact name JOHN H SHAIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MELANIE SHAIN
PRESIDENT
221 N CHESTER
RULEVILLE MS 38771

Officer/Director/Trustee Two

PATRICIA WOLFE
VICE PRESIDENT
2475 STINSON LANE
TROOPER PA 19403

Officer/Director/Trustee Three

MADOLYN SMITH
SECRETARY
304 EAST PARK AVE
GREENWOOD MS 38930

Officer/Director/Trustee Four

JOHN SHAIN
TREASURER
401 WINDSOR AVE
WAYNE PA 19087

Officer/Director/Trustee Five

JOANNE FREDERICK
DIRECTOR
319 WINDSOR AVE
WAYNE PA 19087

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/19/2016
Organization Incorporation State MS
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: Yes
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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