FORM 1023-EZ for DO ONLY GOOD ANIMAL RESCUE

Field Data
EIN 82-1065461
Case Number EO-2017117-000284
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DO ONLY GOOD ANIMAL RESCUE
Organization’s Mailing Address 1721 HILLCREST DRIVE
City ROCHESTER HILLS
State MI
ZIP 48306
Accounting period End 12
Primary contact name PATRICIA GOGALA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PATRICIA GOGALA
EXECUTIVE DIRECTOR
1721 HILLCREST DRIVE
ROCHESTER HILLS MI 48306

Officer/Director/Trustee Two

PETER JENSEN
VICE PRESIDENT
3566 OAKMONTE BOULEVARD
OAKLAND TOWNSHIP MI 48306

Officer/Director/Trustee Three

DIANE HIGGINS
SECRETARY
3528 PARK MEADOW DRIVE
LAKE ORION MI 48362

Officer/Director/Trustee Four

MONICA JENSEN
BOARD MEMBER
3566 OAKMONTE BOULVEARD
OAKLAND TOWNSHIP MI 48306

Officer/Director/Trustee Five

MARY BETH HEIMBUCH
BOARD MEMBER
4419 PEPPERMILL LANE
LAKE ORION MI 48359

Organization’s website WWW.DOONLYGOODRESCUE.COM
Organization’s email DOONLYGOODRESCUE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/18/2017
Organization Incorporation State MI
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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