FORM 1023-EZ for BLUEBELLES RESCUE

Field Data
EIN 47-2231329
Case Number EO-2015076-000175
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BLUEBELLES RESCUE
Organization’s Mailing Address 10223 BROADWAY STREET SUITE P395
City PEARLAND
State TX
ZIP 77584
Accounting period End 12
Primary contact name KATELYN BROSSEAU
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KATELYN BROSSEAU
VICE PRESIDENT
2812 TRAVELLERS ST
LEAGUE CITY TX 77573

Officer/Director/Trustee Two

DENA SHIPLEY-LAMONT
PRESIDENT
3010 COVEBROOK DRIVE
PEARLAND TX 77584

Officer/Director/Trustee Three

KEELY KISH
CLIENT LIASON OFFICER
8427 REBAWOOD DRIVE
HUMBLE TX 77346

Organization’s website BLUEBELLESRESCUE.ORG
Organization’s email BLUEBELLERESCUE@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/10/2014
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D01 - Alliance/Advocacy Organizations
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 Yes
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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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