FORM 1023-EZ for SHADY BROOK RESCUE INC

Field Data
EIN 82-2463867
Case Number EO-2017286-000244
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SHADY BROOK RESCUE INC
Organization’s Mailing Address 330 EAST 18TH STREET
City NEW YORK
State NY
ZIP 10003
Accounting period End 12
Primary contact name MARCIA PEHR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARCIA PEHR
DIRECTOR AND TREASURER
330 EAST 18TH STREET
NEW YORK NY 10003

Officer/Director/Trustee Two

SYLVIA TINGLE
DIRECTOR AND PRESIDENT
407 AUDUBON AVE APT 5D
NEW YORK NY 10033

Officer/Director/Trustee Three

VICTORIA PRESCOTT
DIRECTOR AND SECRETARY
546 W 188 ST
NEW YORK NY 10040

Officer/Director/Trustee Four

RITA DEL GATTO
VICE PRESIDENT
1444 SHAKESPEARE AVE APT 43
BRONX NY 10452

Officer/Director/Trustee Five

DORA NYFFENEGGER
PRESIDENT EMERITUS
87 BARROW ST APT 3C
NEW YORK NY 10014

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/31/2017
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: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
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 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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