OPERATION ROGER

[Administrator]

1) ARE YOU AN INDIVIDUAL OR A RESCUE?
* Rescue

2) NAME OF RESCUE ORGANIZATION:
* Indy Great Pyrenees Rescue, Inc.
ADDRESS: * 1102 W. 78th St.
CITY/STATE/ZIP: * Indianapolis, IN 46260

3) RESCUE'S PHONE NUMBERS/E-MAIL/WEBSITE:
PRIMARY: * 317-251-3179 Home
SECONDARY: * 317-440-6139 /jane@igpr.org cell
THIRD: * 317-797-1096 /john@igpr.org cell
(Please indicate CELL/HOME/WORK/OTHER after each number.)

E-MAIL ADDRESS: * info@igpr.org
WEBSITE: * www.igpr.org

4) IS RESCUE A 501(c)(3)? * yes
IS RESCUE 501(c)(3) PENDING? *

5) DOES THIS RESCUE HAVE CHAPTERS IN OTHER STATES? no

(If yes, please fill out an application for each one separately.)

6) IS THIS RESCUE A CHAPTER BELONGING TO ANOTHER RESCUE IN ANOTHER STATE?

YES/NO: * NO

(If yes, please indicate Main Chapter/City/State and head of organization.)

MAIN CHAPTER NAME:
ADDRESS:
CITY/STATE/ZIP:
HEAD OF ORGANIZATION: