FORM 1023-EZ for DJS PAW RESCUE INC

Field Data
EIN 83-1715996
Case Number EO-2018250-000393
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DJS PAW RESCUE INC
Organization’s Mailing Address 1322 11TH ST NE
City MASSILLON
State OH
ZIP 44646
Accounting period End 12
Primary contact name JASON KENNEDY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAWN JOHNSON
EXECUTIVE DIRECTOR
1322 11TH ST NE
MASSILLON OH 44646

Officer/Director/Trustee Two

RICHARD HOBACK
DIRECTOR
14880 ORRVILLE ST NW
NORTH LAWRENCE OH 44666

Officer/Director/Trustee Three

JASON KENNEDY
DIRECTOR
1321 DAVIS ST SW
CANTON OH 44706

Officer/Director/Trustee Four

DORIS BONNELL
DIRECTOR
14880 ORRVILLE ST NW
NORTH LAWRENCE OH 44666

Officer/Director/Trustee Five

SARAH KENNEDY
DIRECTOR
1321 DAVIS ST SW
CANTON OH 44706

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/20/18
Organization Incorporation State OH
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 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 JASON KENNEDY
Signature Title DIRECTOR
Signature Date 9/5/18

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