FORM 1023-EZ for BOTTLE PUPS AND MAMA DOG RESCUE

Field Data
EIN 83-4132020
Case Number EO-2019157-000249
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BOTTLE PUPS AND MAMA DOG RESCUE
Organization’s Mailing Address 410 JEFFERSON ST
City MOAB
State UT
ZIP 84532-3026
Accounting period End 12
Primary contact name MARNIE ANDERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARNIE ANDERSON
DIRECTOR
410 JEFFERSON ST
MOAB UT 84532-3026

Officer/Director/Trustee Two

JOHNATHAN MOSHER
DIRECTOR
410 JEFFERSON ST
MOAB UT 84532-3026

Officer/Director/Trustee Three

BJ EARDLEY
DIRECTOR
410 APPLE LN
MOAB UT 84532-2022

Organization’s website WWW.PUPSANDMAMAS.COM
Organization’s email PUPSANDMAMAS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/25/19
Organization Incorporation State UT
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: 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 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 MARNIE ANDERSON
Signature Title DIRECTOR
Signature Date 6/3/19

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