FORM 1023-EZ for POM PALACE DOG RESCUE

Field Data
EIN 82-1629132
Case Number EO-2017198-000439
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name POM PALACE DOG RESCUE
Organization’s Mailing Address 7925 W RUSSELL RD 401062
City LAS VEGAS
State NV
ZIP 89140
Accounting period End 12
Primary contact name CAROLE A MCCABE-JOY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CAROLE A MCCABE-JOY
PRESIDENT
7925 W RUSSELL RD 401062
LAS VEGAS NV 89140

Officer/Director/Trustee Two

FRANK JOY
DIRECTOR
7925 W RUSSELL RD 401062
LAS VEGAS NV 89140

Officer/Director/Trustee Three

CHERYL R SHETTEL
TRUSTEE
7925 W RUSSELL RD 401062
LAS VEGAS NV 89140

Organization’s website WWW.POMPALACEDOGRESCUE.ORG
Organization’s email POMPALACEDOGRESCUE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/29/2017
Organization Incorporation State NV
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 Yes
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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