FORM 1023-EZ for PEACHES BULLY RESCUE

Field Data
EIN 82-2616033
Case Number EO-2017258-000284
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PEACHES BULLY RESCUE
Organization’s Mailing Address 6193 HILLSDALE LANE
City WEST CHESTER
State OH
ZIP 45069
Accounting period End 12
Primary contact name NICOLE BRIGGS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARY JO MCKIBBEN
BOARD OF DIRECTORS
10459 SPRINGRUN DRIVE
CINCINNATI OH 45231-1957

Officer/Director/Trustee Two

NICOLE BRIGGS
PRESIDENT / BOARD OF DIRECTORS
6193 HILLSDALE LANE
WEST CHESTER OH 45069-3168

Officer/Director/Trustee Three

GARY ALTERGOTT
BOARD OF DIRECTORS
283 MONTEGO COURT
SAINT PETERS MO 63376-4127

Organization’s website WWW.PEACHESBULLYRESCUE.COM
Organization’s email PEACHESBULLYRESCUE@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/1/2017
Organization Incorporation State OH
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
Signature Title
Signature Date

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