FORM 1023-EZ for DOG LOVER RESCUE

Field Data
EIN 85-4383251
Case Number EO-2021112-000389
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DOG LOVER RESCUE
Organization’s Mailing Address 55 VALLEY VIEW AVE
City RIDGEWOOD
State NJ
ZIP 07450
Accounting period End 12
Primary contact name BRIENNE DE BEAU
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRIENNE DE
DIRECTOR
55 VALLEY VIEW AVE
RIDGEWOOD NJ 07450

Officer/Director/Trustee Two

ERIKA STOJEBA
OFFICER
1178 SAN BERNARD ST
AUSTIN TX 78702

Officer/Director/Trustee Three

PATRICK MARON
OFFICER
629 JEFFERSON ST
HOBOKEN NJ 07030

Officer/Director/Trustee Four

AMY MCCAMBRIDGE
OFFICER
232 STEILEN AVE
RIDGEWOOD NJ 07450

Organization’s website DOGLOVERRESCUE.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/22/2020
Organization Incorporation State NJ
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: No
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 BRIENNE DE
Signature Title DIRECTOR
Signature Date 4/21/2021

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