FORM 1023-EZ for JAILBREAK HUSKY RESCUE

Field Data
EIN 83-4592536
Case Number EO-2019126-000399
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JAILBREAK HUSKY RESCUE
Organization’s Mailing Address 991 S NEWTON ST
City DENVER
State CO
ZIP 80219
Accounting period End 12
Primary contact name KIREN SHINGADIA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KIREN SHINGADIA
PRESIDENT/DIRECTOR
991 S NEWTON ST
DENVER CO 80219

Officer/Director/Trustee Two

VENI SHOBHNA SHINGADIA
TREASURER/SECRETARY/DIRECTOR
991 S NEWTON ST
DENVER CO 80219

Officer/Director/Trustee Three

JOCELYN HALLENBECK
DIRECTOR
991 S NEWTON ST
DENVER CO 80219

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/30/19
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D99 - Animal-Related N.E.C.
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 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 KIREN SHINGADIA
Signature Title PRESIDENT/DIRECTOR
Signature Date 5/2/19

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