FORM 1023-EZ for ROATAN ANIMAL SUPPORT INC

Field Data
EIN 84-3948129
Case Number EO-2019357-000413
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ROATAN ANIMAL SUPPORT INC
Organization’s Mailing Address 2300 MAIN ST SUITE 800
City KANSAS CITY
State MO
ZIP 64108
Accounting period End 12
Primary contact name JULIET COX
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRITTANY FARRELL
PRESIDENT
87 GRANGE HALL RD
DALTON MA 01226

Officer/Director/Trustee Two

JULIET COX
VICE PRESIDENT
2300 MAIN ST SUITE 800
KANSAS CITY MO 64108-2416

Officer/Director/Trustee Three

SUE FARRELL
TREASURER
12091 185TH ST
N JUPITER FL 33478

Officer/Director/Trustee Four

IRMA KORB
SECRETARY
8016 NW PLEASANT FORD RD
WEATHERBY LAKE MO 64152

Organization’s website ROATANANIMALSUPPORT.ORG
Organization’s email INFO@ROATANANIMALSUPPORT.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/12/2019
Organization Incorporation State MO
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: No
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 JULIET COX
Signature Title VICE PRESIDENT
Signature Date 12/20/2019

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