FORM 1023-EZ for OUR PACK ANIMAL RESCUE INC

Field Data
EIN 84-2566227
Case Number EO-2019242-000148
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name OUR PACK ANIMAL RESCUE INC
Organization’s Mailing Address N6518 COUNTY ROAD D
City NEW LONDON
State WI
ZIP 54961
Accounting period End 12
Primary contact name AUTUMN MURPHY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AUTUMN MURPHY
SECRETARY/TREASURER
N6518 COUNTY ROAD D
NEW LONDON WI 54961-9262

Officer/Director/Trustee Two

IAN MURPHY
PRESIDENT
N6518 COUNTY ROAD D
NEW LONDON WI 54961-9262

Officer/Director/Trustee Three

HANNAH VON LOSSOW
DIRECTOR
242 SOUTH WASHINGTON STREET
BERLIN WI 54923-1946

Officer/Director/Trustee Four

MAX DIECK
DIRECTOR
833 WEST 4TH STREET
APPLETON WI 54914-5434

Organization’s website WWW.OURPACKANIMALRESCUE.COM
Organization’s email THEPACK@OURPACKANIMALRESCUE.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/19/19
Organization Incorporation State WI
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: 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 AUTUMN MURPHY
Signature Title SECRETARY/TREASURER
Signature Date 8/28/19

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