FORM 1023-EZ for KELSEYS DOG RESCUE INC

Field Data
EIN 81-3723600
Case Number EO-2016279-000084
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KELSEYS DOG RESCUE INC
Organization’s Mailing Address 47 ESSEX HEIGHTS DRIVE
City WEYMOUTH
State MA
ZIP 02188
Accounting period End 12
Primary contact name CAROL A MOONEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CAROL A MOONEY
PRESIDENT AND DIRECTOR
47 ESSEX HEIGHTS DRIVE
WEYMOUTH MA 02188

Officer/Director/Trustee Two

BRIAN J MOONEY
TREASURER AND DIRECTOR
47 ESSEX HEIGHTS DRIVE
WEYMOUTH MA 02188

Officer/Director/Trustee Three

SARA M MOONEY
CLERK AND DIRECTOR
47 ESSEX HEIGHTS DRIVE
WEYMOUTH MA 02188

Organization’s website WWW.KELSEYSDOGRESCUE.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/4/2016
Organization Incorporation State MA
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 No
One Third Support Gifts Yes
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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