FORM 1023-EZ for CEDAR RIDGE DOG RESCUE AND SANCTUARY

Field Data
EIN 82-4459689
Case Number EO-2018053-000131
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CEDAR RIDGE DOG RESCUE AND SANCTUARY
Organization’s Mailing Address 41370 HWY 40
City CALLAWAY
State NE
ZIP 68825
Accounting period End 12
Primary contact name DAVID BURGESS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LARINDA BURGESS
CEO
41370 HWY 40
CALLAWAY NE 68825

Officer/Director/Trustee Two

DAVID BURGESS
CFO
2610 PONDEROSA DR
BELLEVUE NE 68123

Organization’s website HTTP://WWW.CEDARRIDGEDOGRESCUE.ORG/
Organization’s email LARINDA@CEDARRIDGEDOGRESCUE.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/1/18
Organization Incorporation State NE
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 Yes
Donation of funds Yes
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 Yes
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 DAVID BURGESS
Signature Title CFO
Signature Date 2/19/18

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