FORM 1023-EZ for PITTIES ROCK RESCUE

Field Data
EIN 83-2173775
Case Number EO-2018288-000630
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PITTIES ROCK RESCUE
Organization’s Mailing Address 518 KENSINGTON ST
City MIDDLETOWN
State OH
ZIP 45044
Accounting period End 12
Primary contact name MELISSA SEGAR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MELISSA SEGAR
CEO
518 KENSINGTON ST
MIDDLETOWN OH 45044

Officer/Director/Trustee Two

JOSEPH SEGAR
CFO
518 KENSINGTON ST
MIDDLETOWN OH 45044

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/10/18
Organization Incorporation State OH
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 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 MELISSA SEGAR
Signature Title CEO
Signature Date 10/13/18

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