FORM 1023-EZ for ALLIANCE OF THERAPY PETS

Field Data
EIN 47-2745685
Case Number EO-2015016-000636
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ALLIANCE OF THERAPY PETS
Organization’s Mailing Address 4319 S NATIONAL AVE NUM 212
City SPRINGFIELD
State MO
ZIP 65810-2607
Accounting period End 12
Primary contact name SHEILA MITCHELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SHEILA MITCHELL
CHAIRPERSON
4319 S NATIONAL AVE NUM 212
SPRINGFIELD MO 65810-2607

Officer/Director/Trustee Two

SAMANTHA BLOODWORTH
CO-CHAIRPERSON
4319 S NATIONAL AVE NUM 212
SPRINGFIELD MO 65810-2607

Officer/Director/Trustee Three

EUNICE WILLIAMS
SECRETARY
4319 S NATIONAL AVE NUM 212
SPRINGFIELD MO 65810-2607

Officer/Director/Trustee Four

VAL HEWETT
MASTER EVALUATOR
4319 S NATIONAL AVE NUM 212
SPRINGFIELD MO 65810-2607

Officer/Director/Trustee Five

DR GIL MOBLEY
MEDICAL ADVISOR
4319 S NATIONAL AVE NUM 212
SPRINGFIELD MO 65810-2607

Organization’s website PENDING
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/4/2014
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P01 - Alliance/Advocacy Organizations
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
Signature Title
Signature Date

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