FORM 1023-EZ for RANDYS RESCUE NFP

Field Data
EIN 82-4251893
Case Number EO-2018045-000090
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name RANDYS RESCUE NFP
Organization’s Mailing Address 12757 BASE LINE RD
City KINGSTON
State IL
ZIP 60145
Accounting period End 12
Primary contact name RANDY DECKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RANDALL DECKER
DIRECTOR
12757 BASE LINE RD
KINGSTON IL 60145

Officer/Director/Trustee Two

JEN LOWE
BOARD
12757 BASE LINE RD
KINGSTON IL 60145

Officer/Director/Trustee Three

D ARTAGNAN LOWE
BOARD
12757 BASE LINE RD
KINGSTON IL 60145

Organization’s website WWW.RANDYSRESCUE.ORG
Organization’s email INFO@RANDYSRESCUE.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/18
Organization Incorporation State IL
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 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 RANDALL DECKER
Signature Title DIRECTOR
Signature Date 2/12/18

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