FORM 1023-EZ for MISSION MIRACLE K9 RESCUE INC

Field Data
EIN 47-2096687
Case Number EO-2015233-000081
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MISSION MIRACLE K9 RESCUE INC
Organization’s Mailing Address 733 TEJAS TRAIL
City BANDERA
State TX
ZIP 78003
Accounting period End 12
Primary contact name MATT MONTES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MATTHEW MONTES
PRESIDENT
PO BOX 611
BANDERA TX 78003

Officer/Director/Trustee Two

SARA SMITH
VICE PRESIDENT
PO BOX 611
BANDERA TX 78003

Officer/Director/Trustee Three

NICOLE ESPE
SECRETARY
196 STATE ROAD 78
MT HOREB WI 53572

Officer/Director/Trustee Four

PATRICIA WILSON-ASLALSON
TREASURER
PO BOX 589
NEW GLARUS WI 53574

Officer/Director/Trustee Five

SHANNON RALSTON
DIRECTOR
1003 GAVLAN BLUFF
SAN ANTONIO TX 78258

Organization’s website WWW.MISSIONMIRACLE.ORG
Organization’s email INFO@MISSIONMIRACLE.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/8/2015
Organization Incorporation State TX
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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