FORM 1023-EZ for WEST GEORGIA PET RESCUE INC

Field Data
EIN 20-0376329
Case Number EO-2016014-000424
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WEST GEORGIA PET RESCUE INC
Organization’s Mailing Address PO BOX 596
City BOWDON
State GA
ZIP 30108
Accounting period End 10
Primary contact name MARIE BRAND
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MATTHEW MCCORD
CEO
1310 HWY 100 S
BOWDON GA 30108

Officer/Director/Trustee Two

MATTHEW MCCORD
CFO
1310 HWY 100 S
BOWDON GA 30108

Officer/Director/Trustee Three

MATTHEW MCCORD
SECRETARY
1310 HWY 100 S
BOWDON GA 30108

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/20/2003
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D11 - Single Organization Support
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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