FORM 1023-EZ for B-SQUAD DOG RESCUE INC

Field Data
EIN 81-3977832
Case Number EO-2016305-000222
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name B-SQUAD DOG RESCUE INC
Organization’s Mailing Address 1617 LOCUST AVENUE
City BRANDON
State SD
ZIP 57005
Accounting period End 12
Primary contact name MANDI HAASE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MANDI HAASE
PRESIDENT
1617 LOCUST AVENUE
BRANDON SD 57005

Officer/Director/Trustee Two

MISTEN LONG
VICE PRESIDENT
801 S LAKOTA AVENUE
BRANDON SD 57005

Officer/Director/Trustee Three

MARIAH SCHELHAAS
SECRETARY/TREASURER
615 6TH ST NE APT 6
WATERTOWN SD 57201

Organization’s website WWW.BSQUADDOGRESCUE.COM
Organization’s email INFO@BSQUADDOGRESCUE.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/20/2016
Organization Incorporation State SD
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: Yes
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds Yes
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 Yes
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
Signature Title
Signature Date

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