FORM 1023-EZ for GREAT DAWG RESCUE INC

Field Data
EIN 47-2473413
Case Number EO-2015002-000238
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GREAT DAWG RESCUE INC
Organization’s Mailing Address 106 RIVER LANE
City ORMOND BEACH
State FL
ZIP 32176
Accounting period End 12
Primary contact name LAURA J ORTIZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LAURA J ORTIZ
PRESIDENT DIRECTOR
106 RIVER LANE
ORMOND BEACH FL 32176

Officer/Director/Trustee Two

LARRY MENNIE
DIRECTOR
106 BAY LAKE DRIVE
ORMOND BEACH FL 32174

Officer/Director/Trustee Three

MARK E HALAL
SECRETARY DIRECTOR
4 WILLOW OAKS TRAIL
ORMOND BEACH FL 32174

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/5/2014
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: Yes
Educational: Yes
Scientific: Yes
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 No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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