FORM 1023-EZ for HYDE PARK ANIMAL SERVICES INC

Field Data
EIN 81-3419737
Case Number EO-2016266-000198
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HYDE PARK ANIMAL SERVICES INC
Organization’s Mailing Address PO BOX 1015
City TALLAHASSEE
State FL
ZIP 32302
Accounting period End 2
Primary contact name GRAYCE BERMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GRAYCE S BERMAN
PRESIDENT
1508 APAKIN NENE
TLH FL 32301

Officer/Director/Trustee Two

EILEEN GLICKSON
VP
1510 APAKIN NENE
TLH FL 32301

Officer/Director/Trustee Three

WYNELLE WILSON
SECRETARY
184 SPRING GATE WALK
TLH FL 32308

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/6/2016
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: No
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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