FORM 1023-EZ for ALPHA K9 SEARCH RESCUE

Field Data
EIN 35-2580874
Case Number EO-2017058-000687
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ALPHA K9 SEARCH RESCUE
Organization’s Mailing Address 858 MYERS RD
City CHALFONT
State PA
ZIP 18914
Accounting period End 12
Primary contact name KERRIE GARGES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOSEPH DIBERARDINO
PRESIDENT
656 E BROAD ST
QUAKERTOWN PA 18951

Officer/Director/Trustee Two

KERRIE GARGES
VICE PRESIDENT
858 MYERS RD
CHALFONT PA 18914

Officer/Director/Trustee Three

CHRISTINE MASON
SECRETARY
119 WIGTON CIRCLE
PERKASIE PA 18944

Officer/Director/Trustee Four

LORETTA LESTOR
TREASURER
180 DIEHL RD
EASTON PA 18042

Organization’s website
Organization’s email DKCD462@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/16/2016
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M23 - Search and Rescue Squads, Services
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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
Signature Title
Signature Date

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