FORM 1023-EZ for JAXS LABRADOR RETRIEVER RESCUE

Field Data
EIN 81-2957817
Case Number EO-2020252-000664
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JAXS LABRADOR RETRIEVER RESCUE
Organization’s Mailing Address 1833 MEADOWBROOK RD
City FEASTERVILLE
State PA
ZIP 19053
Accounting period End 12
Primary contact name LISA SANTANGELO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LISA SANTANGELO
SECRETARY
2234 GARDEN AVE
WARRINGTON PA 18976

Officer/Director/Trustee Two

DANIEL MATHERS
PRESIDENT
1833 MEADOWBROOK RD
FEASTERVILLE PA 19053

Organization’s website WWW.JLRRESCUE.ORG
Organization’s email INFO@JAXSLABRESCUE.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/15/2016
Organization Incorporation State PA
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: 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 Yes
Correctness Declaration Yes
Signature Name LISA SANTANGELO
Signature Title SECRETARY
Signature Date 9/5/2020
EIN 81-2957817
Case Number EO-2016218-000043
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JAXS LABRADOR RETRIEVER RESCUE
Organization’s Mailing Address 1833 MEADOWBROOK RD
City FEASTERVILLE TREVOSE
State PA
ZIP 19053-3310
Accounting period End 12
Primary contact name NADIA ADAWI ESQ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DANIEL MATHERS
PRESIDENT
1833 MEADOWBROOK RD
FEASTERVILLE TREVOSE PA 19053-3310

Officer/Director/Trustee Two

LISA SANTANGELO
SECRETARY
2234 GARDEN AVE
WARRINGTON PA 18976-2304

Officer/Director/Trustee Three

PEGGY ODHAM
TREASURER
84 BLACK PINE LN
LEVITTOWN PA 19054-2109

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/15/2016
Organization Incorporation State PA
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 Yes
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
Signature Title
Signature Date

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