FORM 1023-EZ for SIMBAS SENIORS DOG SANCTUARY

Field Data
EIN 81-3809332
Case Number EO-2016350-000200
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SIMBAS SENIORS DOG SANCTUARY
Organization’s Mailing Address 5120 AUDREYSTONE DRIVE
City CARY
State NC
ZIP 27518
Accounting period End 12
Primary contact name ISAAC J BRADLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GREG SHEREMETA
DIRECTOR/PRESIDENT
5120 AUDREYSTONE DRIVE
CARY NC 27518

Officer/Director/Trustee Two

CANDACE SHEREMETA
DIRECTOR/SECRETARY/TREASURER
5120 AUDREYSTONE DRIVE
CARY NC 27518

Organization’s website
Organization’s email SIMBASSENIORS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/26/2016
Organization Incorporation State NC
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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