FORM 1023-EZ for NEKOJIMA

Field Data
EIN 46-4656499
Case Number EO-2015071-000112
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NEKOJIMA
Organization’s Mailing Address 17255 STATE HWY N
City MARTHASVILLE
State MO
ZIP 63357-2952
Accounting period End 12
Primary contact name DORIAN BLACKTHORNE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ANDREA BLACKTHORNE
DIRECTOR
17255 STATE HWY N
MARTHASVILLE MO 63357-2952

Officer/Director/Trustee Two

DORIAN BLACKTHORNE
SECRETARY
17255 STATE HWY N
MARTHASVILLE MO 63357-2952

Officer/Director/Trustee Three

JACOB PARRISH
TREASURER
2913 SUNSET DRIVE
GRANITE CITY IL 62040-5837

Organization’s website WWW.NEKOJIMA.ORG
Organization’s email INFO@NEKOJIMA.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/17/2013
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: 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
Signature Title
Signature Date

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