FORM 1023-EZ for NC DOG RESCUE ORGANIZATION

Field Data
EIN 46-4534823
Case Number EO-2018323-000443
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NC DOG RESCUE ORGANIZATION
Organization’s Mailing Address 221 TIMBER TRAILS LANE
City MOCKSVILLE
State NC
ZIP 27028-1
Accounting period End 12
Primary contact name DEE DEE A CLARK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEE DEE CLARK
DIRECTOR
221 TIMBER TRAILS LANE
MOCKSVILLE NC 27028-1

Officer/Director/Trustee Two

JASON CLARK
BUSINESS MANAGER
221 TIMBER TRAILS LN
MOCKSVILLE NC 27028-1

Organization’s website WWW.NCDOGRESCUE.ORG
Organization’s email DCLARK@NCDOGRESCUE.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/21/14
Organization Incorporation State NC
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name JASON CLARK
Signature Title BUSINESS MANAGER
Signature Date 11/15/18

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