FORM 1023-EZ for SHELTER A MUTT INC

Field Data
EIN 82-4004238
Case Number EO-2018234-000250
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SHELTER A MUTT INC
Organization’s Mailing Address 15414 GYPSY ST
City CORPUS CHRISTI
State TX
ZIP 78418
Accounting period End 12
Primary contact name SAM MULLIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SAM MULLIN
PRESIDENT
15414 GYPSY ST
CORPUS CHRISTI TX 78418

Officer/Director/Trustee Two

TRACY SUSIK-HENSON
TREASURER
5806 SKYLARK DR
CORPUS CHRISTI TX 78408

Officer/Director/Trustee Three

KELLY LEVIER
SECRETARY
2626 HOLLY RD
CORPUS CHRISTI TX 78415

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/9/18
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D01 - Alliance/Advocacy Organizations
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 Yes
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 SAM MULLIN
Signature Title PRESIDENT
Signature Date 8/20/18

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