FORM 1023-EZ for K-911 LOST AND FERAL DOG RESCUE

Field Data
EIN 83-2236583
Case Number EO-2018299-000040
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name K-911 LOST AND FERAL DOG RESCUE
Organization’s Mailing Address 24418 COUNTY ROAD 16
City ELKHART
State IN
ZIP 46516
Accounting period End 12
Primary contact name NANCY VIDA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NANCY VIDA
PRESIDENT
24418 COUNTY ROAD 16
ELHART IN 46516

Officer/Director/Trustee Two

LISA MCCONNELL
VICE-PRESIDENT
58744 OXBOW DRIVE
ELKHART IN 46516

Officer/Director/Trustee Three

RUTHANNE VIDA
TREASURER
30956 REFUGE DRIVE
OSCEOLA IN 46561

Officer/Director/Trustee Four

ANN RUDASICS
OFFICER
52766 JUNIPER
SOUTH BEND IN 46637

Officer/Director/Trustee Five

TINA DONICA
OFFICER
19111 AUTEN ROAD
SOUTH BEND IN 46637

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/23/18
Organization Incorporation State IN
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 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 NANCY VIDA
Signature Title PRESIDENT
Signature Date 10/24/18

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