FORM 1023-EZ for AZ SHEPHERD RESCUE

Field Data
EIN 30-0830871
Case Number EO-2014256-000186
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name AZ SHEPHERD RESCUE
Organization’s Mailing Address 10621 W RUTH AVENUE
City PEORIA
State AZ
ZIP 85345-7444
Accounting period End 12
Primary contact name DEBORAH S HUNSLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DEBORAH S HUNSLEY
FOUNDER/CEO
10621 W RUTH AVENUE
PEORIA AZ 85345-7444

Organization’s website AZSHEPHERDRESCUE.ORG
Organization’s email AZSHEPHERDRESCUE@COX.NET
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/13/2014
Organization Incorporation State AZ
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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