FORM 1023-EZ for HOBO K-9 RESCUE

Field Data
EIN 81-3902255
Case Number EO-2016319-000523
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HOBO K-9 RESCUE
Organization’s Mailing Address 174 MAIN AVENUE NORTH
City BRITT
State IA
ZIP 50423
Accounting period End 12
Primary contact name KIMBERLY DOLPHIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOLYN NOETHE
PRESIDENT
2366 LAKE CIRCLE
BRITT IA 50423

Officer/Director/Trustee Two

KIMBERLY DOLPHIN
VICE PRESIDENT
541 - 6TH AVENUE SE
BRITT IA 50423

Officer/Director/Trustee Three

MEGAN PETERSON
SECRETARY
2655 CRANE AVENUE
WESLEY IA 50483

Officer/Director/Trustee Four

LESLIE LUDWIG
DIRECTOR
1907 - 200TH AVENUE
ALGONA IA 50511

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/1/2016
Organization Incorporation State IA
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 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
Signature Title
Signature Date

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