FORM 1023-EZ for CROSSED PAWS ANIMAL RESCUE INC

Field Data
EIN 81-4689285
Case Number EO-2017040-000309
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CROSSED PAWS ANIMAL RESCUE INC
Organization’s Mailing Address 24 CHARTER AVE
City DIX HILLS
State NY
ZIP 11746
Accounting period End 12
Primary contact name ROSEANNA CALDEIRA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DANA DEBONO
PRESIDENT
24 CHARTER AVE
DIX HILLS NY 11746

Officer/Director/Trustee Two

JEREMY RIESS
DIRECTOR
31 RIDGE ROAD
WHEATLEY HEIGHTS NY 11798

Officer/Director/Trustee Three

PATRICIA RIESS
SECRETARY
31 RIDGE ROAD
WHEATLEY HEIGHTS NY 11798

Officer/Director/Trustee Four

ROSEANNA CALDEIRA
TREASURER
65 HOWELL AVE
DEER PARK NY 11729

Organization’s website CROSSEDPAWSANIMALRESCUE.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/2/2016
Organization Incorporation State NY
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 Yes
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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