FORM 1023-EZ for ZELDAS K9 RESCUE INC

Field Data
EIN 46-2006673
Case Number EO-2016201-000552
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ZELDAS K9 RESCUE INC
Organization’s Mailing Address 5721 GIBSON SHORES DR
City LAKELAND
State FL
ZIP 33809
Accounting period End 11
Primary contact name JACLYN ROSE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JACLYN ROSE
PRESIDENT
5721 GIBSON SHORES DR
LAKELAND FL 33809

Officer/Director/Trustee Two

JONATHAN HUBBARD
VICE PRESIDENT
5721 GIBSON SHORES DR
LAKELAND FL 33809

Officer/Director/Trustee Three

VIVIAN ROSE
SECRETARY
371 PENNSYLVANIA AVE
MINEOLA NY 11501

Organization’s website WWW.ZELDASK9RESCUE.COM
Organization’s email ZELDASK9R@AOL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/11/2013
Organization Incorporation State FL
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: 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 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
EIN 46-2006673
Case Number EO-2015049-000010
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ZELDAS K9 RESCUE INC
Organization’s Mailing Address 5721 GIBSON SHORES DR
City LAKELAND
State FL
ZIP 33809
Accounting period End 11
Primary contact name JACLYN ROSE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JACLYN ROSE
PRESIDENT
5721 GIBSON SHORES DR
LAKELAND FL 33809

Officer/Director/Trustee Two

JONATHAN Hubbard
VICE PRESIDENT
5721 GIBSON SHORES DR
LAKELAND FL 33809

Officer/Director/Trustee Three

VIVIAN ROSE
SECRETARY
371 PENNSYLVANIA AVE
MINEOLA NY 11501

Organization’s website WWW.ZELDASK9RESCUE.COM/
Organization’s email ZELDASK9R@AOL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/11/2013
Organization Incorporation State FL
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: 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
Signature Title
Signature Date

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