FORM 1023-EZ for SIRIUS SLED DOG RESCUE

Field Data
EIN 85-0630523
Case Number EO-2020104-000127
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SIRIUS SLED DOG RESCUE
Organization’s Mailing Address 922 DERACO LANE
City ESTER
State AK
ZIP 99725
Accounting period End 12
Primary contact name ANITA FOWLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANITA FOWLER
PRESIDENT
6111 ABRAHAM RD
FAIRBANKS AK 99709

Officer/Director/Trustee Two

HELEN KWONG
VICE PRESIDENT
8031 ROCKFORD PL
PLEASANTON CA 94566

Officer/Director/Trustee Three

NICOLE IPOCK
SECRETARY/TREASURER
103 SUMMERTIME CT
ROCKY POINT NC 28457

Organization’s website
Organization’s email NITARAE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/5/2020
Organization Incorporation State AK
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 No
Correctness Declaration Yes
Signature Name ANITA FOWLER
Signature Title PRESIDENT
Signature Date 4/9/2020

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