FORM 1023-EZ for LITTLE STAR CHIHUAHUA RESCUE AND ADOPTION

Field Data
EIN 83-1969771
Case Number EO-2018290-000379
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LITTLE STAR CHIHUAHUA RESCUE AND ADOPTION
Organization’s Mailing Address 3214 GATSBY LANE
City MONTGOMERY
State AL
ZIP 36106
Accounting period End 12
Primary contact name LYNNE BURFORD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LYNNE BLACKWELL
PRESIDENT
3214 GATSBY LANE
MONTGOMERY AL 36106

Officer/Director/Trustee Two

SUSAN ROWLEY
SECRETARY
2493 LERUTH DRIVE
MONTGOMERY AL 36106

Officer/Director/Trustee Three

CINDY GRIFFITH
TREASURER
448 BURT MILL ROAD
TALLASSEE AL 36078

Officer/Director/Trustee Four

ASHLEY GRIFFITH
DIRECTOR
448 BURT MILL ROAD
TALLASSEE AL 36078

Officer/Director/Trustee Five

TAMMY SAGER
DIRECTOR
219 PREAKNESS PATH
MONTGOMERY AL 36117

Organization’s website
Organization’s email LITTLESTARCHIS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/1/18
Organization Incorporation State AL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D30 - Wildlife Preservation, Protection
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 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 LYNNE BLACKWELL
Signature Title PRESIDENT
Signature Date 10/15/18

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