FORM 1023-EZ for SANDY PAWS RESCUE INC

Field Data
EIN 82-5520610
Case Number EO-2018169-000595
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SANDY PAWS RESCUE INC
Organization’s Mailing Address 5 NAHOMAN ST
City OAK BLUFFS
State MA
ZIP 2557
Accounting period End 12
Primary contact name ASHLEY MEDEIROS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ASHLEY MEDEIROS
FOUNDER/PRESIDENT
PO BOX 417
OAK BLUFFS MA 2557

Officer/Director/Trustee Two

MICHAEL PETERS
TREASURER
PO BOX 417
OAK BLUFFS MA 2557

Officer/Director/Trustee Three

HANNAH SPILLANE
SECRETARY/DIRECTOR
PO BOX 417
OAK BLUFFS MA 2557

Officer/Director/Trustee Four

ROSE PETERS
BOARD MEMBER/DIRECTOR
PO BOX 205
OAK BLUFFS MA 2557

Officer/Director/Trustee Five

BROOKE KOWALSKI
BOARD MEMBER/DIRECTOR
PO BOX 417
OAK BLUFFS MA 2557

Organization’s website
Organization’s email ASHLEYEMEDEIROS@ICLOUD.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/9/18
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D99 - Animal-Related N.E.C.
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 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 ASHLEY MEDEIROS
Signature Title FOUNDER/PRESIDENT
Signature Date 6/14/18

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