FORM 1023-EZ for SMITHS DEN DOG RESCUE

Field Data
EIN 81-3465606
Case Number EO-2016252-000204
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SMITHS DEN DOG RESCUE
Organization’s Mailing Address 2501 SHELBY LANE
City OCEAN SPRINGS
State MS
ZIP 39564
Accounting period End 4
Primary contact name MAJA SMITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MAJA SMITH
RESCUE ORGANIZATION PRESIDENT
2501 SHELBY LANE
OCEAN SPRINGS MS 39564

Officer/Director/Trustee Two

ALEKSANDRA BOZALO
TREASUER
BRANKA COPICA 9
NOVI SAD SERBIA MS 39564

Officer/Director/Trustee Three

TRINITY VIVONA
SECRETARY
7720 COPPER MOUNTAIN LANE
MCKINNEY TX 75070

Officer/Director/Trustee Four

MARISA PINELLI
BOARD MEMBER/ADOPTION COORDINATOR
3054 ALA POHA PLACE APT 607
HONOLULU HI 96818

Officer/Director/Trustee Five

MILOS LULIC
BOARD MEMBER/IT
80 GRIESKAI
GRATZ AUSTRIA MS 39564

Organization’s website
Organization’s email SMITHSDENDOGRESCUE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/1/2016
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D12 - Fund Raising and/or Fund Distribution
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 Yes
Conducting Activities Outside of United States Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
Gaming Activity No
Disaster relief assistance Yes
One Third Support Public Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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