FORM 1023-EZ for OH MY DOG RESCUE

Field Data
EIN 47-4845158
Case Number EO-2015342-000373
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name OH MY DOG RESCUE
Organization’s Mailing Address 1571 SUNSET DRIVE
City LIVERMORE
State CA
ZIP 94551
Accounting period End 12
Primary contact name JESSICA HUGHES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JESSICA HUGHES
PRESIDENT
1571 SUNSET DRIVE
LIVERMORE CA 94551

Officer/Director/Trustee Two

LISA ANN BAILIFF
VICE-PRESIDENT
1158 VIENNA STREET
LIVERMORE CA 94550

Officer/Director/Trustee Three

KIMBERLY WAGNER
SECRETARY
94 DUBOST COURT
DANVILLE CA 94526

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/5/2015
Organization Incorporation State CA
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 Yes
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 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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