FORM 1023-EZ for UNLEASHED LOVE PET RESCUE

Field Data
EIN 82-1634769
Case Number EO-2017215-000160
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name UNLEASHED LOVE PET RESCUE
Organization’s Mailing Address 53 NORTHBROOK ST SE
City GRAND RAPIDS
State MI
ZIP 49548
Accounting period End 5
Primary contact name JASMINE WEST
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JASMINE WEST
PRESIDENT
53 NORTHBROOK ST SE
GRAND RAPIDS MI 49548

Officer/Director/Trustee Two

REBECCA BOWMAN
VICE PRESIDENT
4668 SOUTH SHERIDAN
MUSKEGON MI 49444

Officer/Director/Trustee Three

AMANDA DAVIS
TREASURER
1967 FRANCIS AVE SE
GRAND RAPIDS MI 49507

Officer/Director/Trustee Four

MICHELLE COOPER
SECRETARY
906 EAST COFFREN
GREENVILLE MI 48838

Organization’s website UNLEASHEDLOVEPETRESCUE.ORG
Organization’s email UNLEASHEDLOVEPETRESCUE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/22/2017
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: 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 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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