FORM 1023-EZ for SURVIVORS PAWS ANIMAL RESCUE INC

Field Data
EIN 85-1272835
Case Number EO-2020235-000029
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SURVIVORS PAWS ANIMAL RESCUE INC
Organization’s Mailing Address 10 BENNING ST STE 160 UNIT 278
City WEST LEBANON
State NH
ZIP 03784-3402
Accounting period End 12
Primary contact name SHELLEY ANDREWS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHELLEY ANDREWS
CEO AND PRESIDENT
10 BENNING ST STE 160 UNIT 278
WEST LEBANON NH 03784-3402

Officer/Director/Trustee Two

JANET JOHNSON
VICE PRESIDENT
10 BENNING ST STE 160 UNIT 278
WEST LEBANON NH 03784-3402

Officer/Director/Trustee Three

MARGARET POIRIER
SECRETARY
10 BENNING ST STE 160 UNIT 278
WEST LEBANOON NH 03784-3402

Officer/Director/Trustee Four

ANNA BRIGGS
TREASURER
10 BENNING ST STE 160 UNIT 278
WEST LEBANON NH 03784-3402

Officer/Director/Trustee Five

ROBIN MCCANN
CHIEF TECHNOLOGY OFFICER
10 BENNING ST STE 160 UNIT 278
WEST LEBANON NH 03784-3402

Organization’s website WWW.SURVIVORSPAWSANIMALRESCUE.ORG
Organization’s email SURVIVORSPAWSANIMALRESCUE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/3/2020
Organization Incorporation State NH
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 SHELLEY ANDREWS
Signature Title CEO AND PRESIDENT
Signature Date 8/19/2020

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