FORM 1023-EZ for TAKE ME HOME DOG RESCUE INC

Field Data
EIN 81-4942830
Case Number EO-2017013-000450
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TAKE ME HOME DOG RESCUE INC
Organization’s Mailing Address 1230 W FRANCISCAN DR
City EAGLE
State ID
ZIP 83616
Accounting period End 12
Primary contact name SHARON HELMANDOLLAR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHARON HELMANDOLLAR
PRESIDENT
1230 W FRANCISCAN DR
EAGLE ID 82616

Officer/Director/Trustee Two

JEANNIE WATANABE
VICE PRESIDENT
1002 BITTERROOT DR
MCALL ID 83638

Officer/Director/Trustee Three

LINDA RYALLS
TREASURER
712 W HIGHLAND VIEW DR
BOISE ID 83702

Organization’s website WWW.TAKEMEHOMEDOGRESCUE.ORG
Organization’s email TAKEMEHOMEDOGRESCUE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/11/2017
Organization Incorporation State ID
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: No
Religious: No
Educational: No
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 No
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 No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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