FORM 1023-EZ for SPRINGFIELD KITTY CAT SHACK RESCUEINC

Field Data
EIN 83-4441486
Case Number EO-2019235-000268
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SPRINGFIELD KITTY CAT SHACK RESCUEINC
Organization’s Mailing Address 1918 SILVER STREET
City JACKSONVILLE
State FL
ZIP 32206-3650
Accounting period End 7
Primary contact name EVELYN M BORLAND
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

EVELYN BORLAND
PRESIDENT
1918 SILVER ST
JACKSONVILLE FL 32206-3650

Officer/Director/Trustee Two

DONNA MARTIN
TREASURER
2050 NORTH MARKET ST
JACKSONVILLE FL 32206-3650

Officer/Director/Trustee Three

CINDA MARTIN
SECRETARY
1934 SILVER ST
JACKSONVILLE FL 32206-3650

Officer/Director/Trustee Four

JEANETTE AVERY
VICE PRESIDENT
17636 TEMPLE ST
MONTVERDE FL 34756-3219

Organization’s website
Organization’s email SPRKITTYCATSHACK@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/12/19
Organization Incorporation State FL
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: Yes
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name EVELYN BORLAND
Signature Title PRESIDENT
Signature Date 8/21/19
EIN 83-4441486
Case Number EO-2019235-000268
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SPRINGFIELD KITTY CAT SHACK RESCUE INC
Organization’s Mailing Address 1918 SILVER STREET
City JACKSONVILLE
State FL
ZIP 32206-3650
Accounting period End 7
Primary contact name EVELYN M BORLAND
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

EVELYN BORLAND
PRESIDENT
1918 SILVER ST
JACKSONVILLE FL 32206-3650

Officer/Director/Trustee Two

DONNA MARTIN
TREASURER
2050 NORTH MARKET ST
JACKSONVILLE FL 32206-3650

Officer/Director/Trustee Three

CINDA MARTIN
SECRETARY
1934 SILVER ST
JACKSONVILLE FL 32206-3650

Officer/Director/Trustee Four

JEANETTE AVERY
VICE PRESIDENT
17636 TEMPLE ST
MONTVERDE FL 34756-3219

Organization’s website
Organization’s email SPRKITTYCATSHACK@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/12/19
Organization Incorporation State FL
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: Yes
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name EVELYN BORLAND
Signature Title PRESIDENT
Signature Date 8/21/19

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