FORM 1023-EZ for OPERATION LITTLE BROWN DOG INC

Field Data
EIN 47-1440512
Case Number EO-2017335-000256
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name OPERATION LITTLE BROWN DOG INC
Organization’s Mailing Address PO BOX 1021
City AUBURN
State AL
ZIP 36831
Accounting period End 12
Primary contact name KIMBERLY ORSINI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KIMBERY ORSINI
PRESIDENT
729 QUEENS WAY
AUBURN AL 36830-5098

Officer/Director/Trustee Two

SILVIA ANDION
VICE-PRESIDENT
1550 THORNAPLE LANE
SANFORD FL 32771

Officer/Director/Trustee Three

BOBBYE BOWDON
TRESURER
81 PRESERVE RD
SYLVA NC 28779

Officer/Director/Trustee Four

ELIZABETH HOWARD
SECRETARY
133 TANGLEWOOD DR
SOUTHINGTON CT 06489

Organization’s website WWW.OPERATIONLBD.COM
Organization’s email KIMBERLYORSINI@SYNOVUS.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/22/2014
Organization Incorporation State GA
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date
EIN 47-1440512
Case Number EO-2014245-000353
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name OPERATION LITTLE BROWN DOG INC
Organization’s Mailing Address 4219 OLYMPIC LN
City COLUMBUS
State GA
ZIP 31907
Accounting period End 12
Primary contact name KIMBERLY ORSINI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KIMBERY ORSINI
PRESIDENT
4219 OLYMPIC LN
COLUMBUS GA 31907

Officer/Director/Trustee Two

SILVIA ANDION
VICE-PRESIDENT
1550 THORNAPLE LN
SANFORD FL 32771

Officer/Director/Trustee Three

BOBBYE BOWDON
TRESURER
81 PRESERVE RD
SYLVA NC 28779

Officer/Director/Trustee Four

LIZ HOWARD
SECRETARY
133 TANGLEWOOD DR
SOUTHINGTON CT 06489

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/22/2014
Organization Incorporation State GA
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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