FORM 1023-EZ for STREET DOG RESCUE & RECOVERY

Field Data
EIN 86-1708978
Case Number EO-2021100-001119
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name STREET DOG RESCUE & RECOVERY
Organization’s Mailing Address 1504 CITY AVENUE
City MOORE
State OK
ZIP 73160-3627
Accounting period End 12
Primary contact name SHEA J OTLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MITZI BROGDON
PRESIDENT
1504 CITY AVENUE
MOORE OK 73160-3627

Officer/Director/Trustee Two

MELISSA WEBB
VICE PRESIDENT
305 RIDGE LAKE BOULEVARD
NORMAN OK 73170-4156

Officer/Director/Trustee Three

SHEA OTLEY
DIRECTOR
13101 SE 104TH STREET
OKLAHOMA CITY OK 73165-9003

Officer/Director/Trustee Four

KRISTI WALKER
DIRECTOR
9204 SOUTH MCKINLEY AVENUE
OKLAHOMA CITY OK 73139-2624

Officer/Director/Trustee Five

CALLIE LUSNIA
SECRETARY/TREASURER
7821 NW 20TH STREET
BETHANY OK 73008-5301

Organization’s website
Organization’s email SDRMOOREOK@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/25/2021
Organization Incorporation State OK
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: 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 SHEA OTLEY
Signature Title DIRECTOR
Signature Date 3/30/2021

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