FORM 1023-EZ for 3RD COAST LABRADOR RETRIEVER RESCUE

Field Data
EIN 47-3859629
Case Number EO-2015176-000379
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name 3RD COAST LABRADOR RETRIEVER RESCUE
Organization’s Mailing Address 23003 WATERVIEW DRIVE
City NEW BOSTON
State MI
ZIP 48164
Accounting period End 12
Primary contact name VICTORIA LONG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JUSTINE EMBACH
PRESIDENT
2700 WEWOKA ROAD
WATERFORD MI 48328-3261

Officer/Director/Trustee Two

VICTORIA LONG
VICE-PRESIDENT
23003 WATERVIEW DRIVE
NEW BOSTON MI 48164-7807

Officer/Director/Trustee Three

MONA LOCK
TREASURER
49644 LEHR DRIVE
MACOMB MI 48044-1752

Officer/Director/Trustee Four

JAMIE SHELLEY
SECRETARY
24590 POWER ROAD
FARMINGTON HILLS MI 48336-1749

Officer/Director/Trustee Five

KATHRYN MYERS
CHAIR PERSON
30524 RUSH STREET
GARDEN CITY MI 48135-2071

Organization’s website WWW.3CLR.ORG
Organization’s email INFO@3CLR.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/8/2015
Organization Incorporation State MI
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: 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 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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