FORM 1023-EZ for BORDER COLLIE RESCUE AND REHAB

Field Data
EIN 47-1865444
Case Number EO-2014279-000263
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BORDER COLLIE RESCUE AND REHAB
Organization’s Mailing Address PO BOX 682
City ALLEN
State TX
ZIP 75013
Accounting period End 12
Primary contact name DEANNE HARRIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DEANNE HARRIS
FOUNDER
807 MEADOW CREEK DRIVE
ALLEN TX 75002

Officer/Director/Trustee Two

CHERYL TROTTER
DIRECTOR
5 SAN MARCOS COURT
ODESSA TX 79765

Officer/Director/Trustee Three

DANIELLE FAMOLARE
DIRECTOR
1809 CHASEWOOD DRIVE
AUSTIN TX 78727

Organization’s website
Organization’s email BC.RESCUE.REHAB@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/1/2014
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D11 - Single Organization Support
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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