FORM 1023-EZ for 605 BOXER RESCUE

Field Data
EIN 84-2390827
Case Number EO-2019199-000283
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name 605 BOXER RESCUE
Organization’s Mailing Address 3309 S STEVEN CIRCLE
City SIOUX FALLS
State SD
ZIP 57106
Accounting period End 12
Primary contact name DONNA TUCKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KASEY MATZEN
PRESIDENT
3309 S STEVEN CIRCLE
SIOUX FALLS SD 57106

Officer/Director/Trustee Two

JACI JAACKS
TREASURER
1429 DAVENPORT ST
STURGIS SD 57785

Officer/Director/Trustee Three

JANET GRATE
SECRETARY
1105 W GLEN EAGLE CIRCLE
SIOUX FALLS SD 57108

Officer/Director/Trustee Four

BOB EVANS
VICE PRESIDENT
900 N JAMES AVE
TEA SD 57064

Organization’s website HTTP://WWW.605BOXERRESCUE.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/15/19
Organization Incorporation State SD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D60 - Other Services - Specialty Animals
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 KASEY MATZEN
Signature Title PRESIDENT
Signature Date 7/16/19

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