FORM 1023-EZ for DIZZY DOG ANIMAL RESCUE

Field Data
EIN 86-1335059
Case Number EO-2021091-000076
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DIZZY DOG ANIMAL RESCUE
Organization’s Mailing Address 148 BLUEWING LANE
City MOORESVILLE
State NC
ZIP 28117
Accounting period End 12
Primary contact name STACEY CARLSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STACEY CARLSON
DIRECTOR
148 BLUEWING LANE
MOORESVILLE NC 28117

Officer/Director/Trustee Two

KRISTY ANN CANNON
DIRECTOR
148 BLUEWING LANE
MOORESVILLE NC 28117

Officer/Director/Trustee Three

ROBERT LYONS
DIRECTOR
148 BLUEWING LANE
MOORESVILLE NC 28117

Officer/Director/Trustee Four

KAREN LOECHNER
DIRECTOR
148 BLUEWING LANE
MOORESVILLE NC 28117

Officer/Director/Trustee Five

TERESA SCHAFER
DIRECTOR
148 BLUEWING LANE
MOORESVILLE NC 28117

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/21/2021
Organization Incorporation State NC
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 STACEY CARLSON
Signature Title DIRECTOR
Signature Date 2/18/2021

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