FORM 1023-EZ for LUCY THE ROCKSTAR DOG SEARCH AND RESCUE

Field Data
EIN 83-0709844
Case Number EO-2018193-000420
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LUCY THE ROCKSTAR DOG SEARCH AND RESCUE
Organization’s Mailing Address 20802 N 148TH DRIVE
City SUN CITY WEST
State AZ
ZIP 85375
Accounting period End 12
Primary contact name JEANNINE BRACE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEANNINE BRACE
PRESIDENT
20802 N 148TH DRIVE
SUN CITY WEST AZ 85375

Officer/Director/Trustee Two

DENISE DANIELS
SECRETARY
13218 W GAUCHO
SUN CITY WEST AZ 85375

Officer/Director/Trustee Three

DEIRDRE MORRISON
CPA
13439 W PROSPECT DRIVE
SUN CITY WEST AZ 85375

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/30/18
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D99 - Animal-Related N.E.C.
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JEANNINE BRACE
Signature Title PRESIDENT
Signature Date 7/10/18

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