FORM 1023-EZ for A PLACE FOR PAWS ANIMAL RESCUE

Field Data
EIN 84-2013631
Case Number EO-2019196-000357
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name A PLACE FOR PAWS ANIMAL RESCUE
Organization’s Mailing Address PO BOX 673
City RICHLAND
State MI
ZIP 49083-641
Accounting period End 12
Primary contact name DANIELLE KOLBERG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DANIELLE KOLBERG
CO-PRESIDENT
PO BOX 673
RICHLAND MI 49083-641

Officer/Director/Trustee Two

KELLI ROE
CO-PRESIDENT
PO BOX 673
RICHLAND MI 49083-641

Officer/Director/Trustee Three

DANIEL CARL
TREASURER
PO BOX 673
RICHLAND MI 49083-641

Officer/Director/Trustee Four

CYNTHIA ROE
EXECUTIVE SECRETARY
PO BOX 673
RICHLAND MI 49083-641

Organization’s website WWW.APLACEFORPAWSANIMALRESCUE.ORG
Organization’s email APLACEFORPAWS.ANIMALRESCUE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/8/19
Organization Incorporation State MI
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 KELLI ROE
Signature Title CO-PRESIDENT
Signature Date 7/12/19

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