FORM 1023-EZ for PASSPORT ANIMAL RESCUE INCORPORATED

Field Data
EIN 81-4899190
Case Number EO-2017011-000299
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PASSPORT ANIMAL RESCUE INCORPORATED
Organization’s Mailing Address 7101 MARLBOROUGH DRIVE
City BALTIMORE
State MD
ZIP 21234-7525
Accounting period End 12
Primary contact name LEIGH ANDERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SIENNA HOWLETT-WAGNER
DIRECTOR
7101 MARLBOROUGH DRIVE
BALTIMORE MD 21234-7525

Officer/Director/Trustee Two

JAIME HOWLETT-WAGNER
DIRECTOR
7101 MARLBOROUGH DRIVE
BALTIMORE MD 21234-7525

Officer/Director/Trustee Three

LEIGH ANDERSON
DIRECTOR
605 ALDWORTH ROAD
BALTIMORE MD 21222

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/9/2017
Organization Incorporation State MD
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 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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