FORM 1023-EZ for MILE HIGH DACHSHUNDS RESCUE INC

Field Data
EIN 47-3750445
Case Number EO-2015127-000468
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MILE HIGH DACHSHUNDS RESCUE INC
Organization’s Mailing Address 5290 S GENEVA WY
City ENGLEWOOD
State CO
ZIP 80111
Accounting period End 12
Primary contact name DOROTHY LUELOFF
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DOROTHY LUELOFF
DIRECTOR/PRESIDENT
2961 CASCADE DRIVE
FEDERAL HEIGHTS CO 80260-5720

Officer/Director/Trustee Two

ANN OSTER
DIRECTOR/VICEPRESIDENT
5290 S GENEVA WY
ENGLEWOOD CO 80111-6203

Officer/Director/Trustee Three

KELLY KLEEMAN
DIRECTOR/VICEPRESIDENT
2540 SWEETWATER CIR
LAFAYETTE CO 80026-9382

Officer/Director/Trustee Four

CAROL DIETZ
DIRECTOR/TREASURER
8092 E 8TH PLACE
DENVER CO 80230-6143

Officer/Director/Trustee Five

CYNTHIA MIYAMOTO
DIRECTOR
3796 PASTURE GATE CIR
ELIZABETH CO 80107-8237

Organization’s website WWW.MILEHIGHDACHSHUNDSRESCUE.ORG
Organization’s email PRESIDENT@MILEHIGHDACHSHUNDSRESCUE.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/16/2015
Organization Incorporation State CO
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: 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 Yes
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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