FORM 1023-EZ for NATIONAL BOXER RESCUE

Field Data
EIN 83-2331942
Case Number EO-2018306-000150
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NATIONAL BOXER RESCUE
Organization’s Mailing Address 1518 QUINCE STREET
City BRAINERD
State MN
ZIP 56401
Accounting period End 1
Primary contact name CHERYL PETERSEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHERYL PETERSEN
ADMINISTRATOR
1518 QUINCE STREET SE
BRAINERD MN 56401

Officer/Director/Trustee Two

BRANDY HAFELE
ADMINISTRATOR
5254 ASHLAND RD
ELDON IA 52554

Officer/Director/Trustee Three

CAITLIN STATEN
ADMINISTRATOR
11335 CANTERBURY TALES LN
AUSTIN TX 78748

Officer/Director/Trustee Four

CHRYSTAL LAMB
ADMINISTRATOR
609 HERITAGE OAKS DRIVE
ANGLETON TX 77515

Officer/Director/Trustee Five

KAELA MASTERSON
ADMINISTRATOR
1379 HULL LANE
MARTINEZ CA 94553

Organization’s website
Organization’s email NATIONALBOXERRESCUE@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/11/18
Organization Incorporation State MN
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: Yes
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 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 CHERYL PETERSEN
Signature Title ADMINISTRATOR
Signature Date 10/31/18

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