FORM 1023-EZ for MAXX ME PET RESCUE INC

Field Data
EIN 47-3332157
Case Number EO-2015327-000403
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MAXX ME PET RESCUE INC
Organization’s Mailing Address 9629 GRETNA GREEN DRIVE
City TAMPA
State FL
ZIP 33626
Accounting period End 12
Primary contact name KIMBERLY ISNER MONTICELLO ESQ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LEA ELISE HAVERSTOCK
DIRECTOR AND FOUNDER
12157 W LINEBAUGH AVE NO 181
TAMPA FL 33626

Officer/Director/Trustee Two

STEVE HAVERSTOCK
DIRECTOR
9620 GRETNA GREEN DR
TAMPA FL 33626

Officer/Director/Trustee Three

LISA PRESNAIL
DIRECTOR
2042 3RD AVE N
ST PETERSBURG FL 33713

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/1/2014
Organization Incorporation State FL
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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