FORM 1023-EZ for SILVER STAR ANIMAL ASSISTED THERAPYINC

Field Data
EIN 82-4460042
Case Number EO-2018053-000272
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SILVER STAR ANIMAL ASSISTED THERAPYINC
Organization’s Mailing Address P O BOX 352
City MT. PLEASANT
State TX
ZIP 75456-352
Accounting period End 12
Primary contact name KAREN GAGE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KAREN GAGE
CLINICAL DIRECTOR
P O BOX 352
MT. PLEASANT TX 75456-352

Officer/Director/Trustee Two

CASIE BUCK
PROGRAM DIRECTOR
108 JANET KAY DRIVE
LONGVIEW TX 75605-8006

Officer/Director/Trustee Three

CHRIS BASHAM
BOARD MEMBER
P O BOX 352
MT. PLEASANT TX 75456-352

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/30/18
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other 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 KAREN GAGE
Signature Title CLINICAL DIRECTOR
Signature Date 2/20/18

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