FORM 1023-EZ for GYPSY CANINE RESCUE

Field Data
EIN 47-4359673
Case Number EO-2015212-000129
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GYPSY CANINE RESCUE
Organization’s Mailing Address 5612 DOVE CREEK AVE
City NORTHPORT
State AL
ZIP 35473
Accounting period End 12
Primary contact name DALE SOUTH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DALE SOUTH
PRESIDENT
5612 DOVE CREEK AVE
NORTHPORT AL 35475

Officer/Director/Trustee Two

MICHELLE CULPEPPER
VICE-PRESIDENT
12388 FLINT DRIVE
MOUNDVILLE AL 35474

Officer/Director/Trustee Three

VICKIE SIMPSON
TREASURER
12310 FALCON CREST CIRCLE
NORTHPORT AL 35475

Officer/Director/Trustee Four

KALI BONNETT
SECRETARY
4950 ROSS CIRCLE
NORTHPORT AL 35475

Officer/Director/Trustee Five

TERRY TITTLE
CHAIRMAN, BOARD OF DIRECTORS
5608 DOVE CREEK AVE
NORTHPORT AL 35475

Organization’s website
Organization’s email GYPSYCANINERESCUE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/29/2015
Organization Incorporation State AL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D01 - Alliance/Advocacy Organizations
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
Signature Title
Signature Date

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