FORM 1023-EZ for GREY GHOST WEIMARANER RESCUE

Field Data
EIN 81-4473387
Case Number EO-2017034-000320
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GREY GHOST WEIMARANER RESCUE
Organization’s Mailing Address 590 W HIGHWY 105 STE 278
City MONUMENT
State CO
ZIP 80132
Accounting period End 12
Primary contact name CAROLYN BEAVERS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CAROLYN BEAVERS
PRESIDENT
1325 DEER CREEK RD
MONUMENT CO 80132

Officer/Director/Trustee Two

DAUN PRINGLE
VICE PRESIDENT
313 BEEDLE DRIVE
AMES IA 50014

Officer/Director/Trustee Three

MAGGIE DUSENBERY
SECRETARY
2641 ELK CANYON CIRCLE
SEDALIA CO 80135

Officer/Director/Trustee Four

JENNY PIAZZA
TREASURER
2018 CHISM DRIVE
PUEBLO CO 81008

Organization’s website WWW.GREYGHOSTRESCUE.ORG
Organization’s email GREYGHOSTWEIMRESCUE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/7/2016
Organization Incorporation State CO
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 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 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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