FORM 1023-EZ for SAFE DOG PA INC

Field Data
EIN 83-4489095
Case Number EO-2019191-000213
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SAFE DOG PA INC
Organization’s Mailing Address 22 AIRDRIE CT
City PAOLI
State PA
ZIP 19301
Accounting period End 12
Primary contact name SARAH HERMANS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SARAH HERMANS
PRESIDENT/DIRECTOR
22 AIRDRIE CT
PAOLI PA 19301

Officer/Director/Trustee Two

LYNNE BROWN
VICE-PRESIDENT/TREASURER
1602 SORRELL RD
MALVERN PA 19301

Officer/Director/Trustee Three

AVIS RUEGER
SECRETARY/DIRECTOR
116 CHERRY LANE
BERWYN PA 19312

Organization’s website HTTPS://SAFEDOGPA.COM
Organization’s email SARAH.CHLOE22@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/6/19
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P62 - Victims' Services
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 SARAH HERMANS
Signature Title PRESIDENT/DIRECTOR
Signature Date 7/8/19

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