FORM 1023-EZ for STAY PAWSITIVE INC

Field Data
EIN 47-4737653
Case Number EO-2015240-000215
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name STAY PAWSITIVE INC
Organization’s Mailing Address 80 OAKVIEW TERRACE
City SHORT HILLS
State NJ
ZIP 07078
Accounting period End 12
Primary contact name DAVID S MILLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

PETER F BARISO III
DIRECTOR, PRESIDENT, TREASURER
80 OAKVIEW TERRACE
SHORT HILLS NJ 07078

Officer/Director/Trustee Two

GIANNA SAGAN
DIRECTOR
7 GUILFORD STREET
ALLSTON MA 02134

Officer/Director/Trustee Three

ANNA KOT
DIRECTOR
42 MICHAEL STREET
ISELIN NJ 08830

Officer/Director/Trustee Four

DOMINIQUE CYRAN
SECRETARY
258 MILLBURN AVENUE
MILLBURN NJ 07041

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/4/2015
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D99 - Animal-Related N.E.C.
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 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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