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      <BusinessName>
        <BusinessNameLine1Txt>LUCKY DOG RESCUE INC</BusinessNameLine1Txt>
      </BusinessName>
      <InCareOfNm>% Gabrielle Petersen</InCareOfNm>
      <BusinessNameControlTxt>LUCK</BusinessNameControlTxt>
      <ForeignPhoneNum>9202512560</ForeignPhoneNum>
      <USAddress>
        <AddressLine1Txt>75 ELM ACRES DR</AddressLine1Txt>
        <CityNm>FOND DU LAC</CityNm>
        <StateAbbreviationCd>WI</StateAbbreviationCd>
        <ZIPCd>549352903</ZIPCd>
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      <PersonNm>Gabrielle Petersen</PersonNm>
      <PersonTitleTxt>Director</PersonTitleTxt>
      <SignatureDt>2023-05-16</SignatureDt>
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    <TaxYr>2022</TaxYr>
    <BuildTS>2023-04-26 12:10:37Z</BuildTS>
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        <DescriptionProgramSrvcAccomTxt>Our organization worked to get over 250 dogs transported to Wisconsin get them up to date on vaccinations spay and neuter them to control the pet population and find them loving forever homes. The adoptors are often families some with special needs who are looking to add a dog to their family.</DescriptionProgramSrvcAccomTxt>
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        <PersonNm referenceDocumentName="CompensationExplanation">Gabrielle Petersen</PersonNm>
        <TitleTxt>President</TitleTxt>
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        <PersonNm referenceDocumentName="CompensationExplanation">Raymond Petersen</PersonNm>
        <TitleTxt>Treasurer</TitleTxt>
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      <OfficerDirectorTrusteeEmplGrp>
        <PersonNm referenceDocumentName="CompensationExplanation">Barbara Gustafson</PersonNm>
        <TitleTxt>Secretary</TitleTxt>
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      <OfficerDirectorTrusteeEmplGrp>
        <PersonNm referenceDocumentName="CompensationExplanation">April Tarras</PersonNm>
        <TitleTxt>Board Member</TitleTxt>
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        <CompensationAmt>0</CompensationAmt>
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      <OfficerDirectorTrusteeEmplGrp>
        <PersonNm referenceDocumentName="CompensationExplanation">Jesse Gustafson</PersonNm>
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      <OfficerDirectorTrusteeEmplGrp>
        <PersonNm referenceDocumentName="CompensationExplanation">Beth Ebert</PersonNm>
        <TitleTxt>Board Member &amp; Marketing</TitleTxt>
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        <PersonNm>Raymond Petersen</PersonNm>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, line 16</FormAndLineReferenceDesc>
        <ExplanationTxt>| Other Expenses:, Amount:| AUTO &amp; TRUCK EXPENSE, $10015.60| BANK CHARGES, $861.37| CREDIT CARD FEES, $1264.58| COMPUTER COST, $1990.98| DOG WATCHING, $10369.10| DOG TRANSPORT, $12395.00| DUES AND SUBSCRIPTIONS, $947.54| MEALS AND ENTERTAINMENT, $140.91| CLEANING SUPPLIES, $6938.37| DOG DRUGS MEDICINE, $5630.95| DOG FOOD SUPPLIES, $9291.29| TAXES AND LICENSES, $311.00| TELEPHONE, $4951.67| Vet Expenses, $30467.00| Microchips, $397.00| sales tax, $4130.00|</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part II, line 24</FormAndLineReferenceDesc>
        <ExplanationTxt>| Asset Name:, BOY Amount:, EOY Amount:| Accounts Receivable, $670, $625| Equipment, 0, $6343| Inventory, $545, $7294|</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part II, line 26</FormAndLineReferenceDesc>
        <ExplanationTxt>| Liabilities Name:, BOY Amount:, EOY Amount:| Customer Deposits, $758, $1300| Accounts Payable, $4321, $1927| Mortgages or other loans payable, $13313, $41366|</ExplanationTxt>
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