FORM 1023-EZ for ST ANIMAL PET ADOPTIONS

Field Data
EIN 38-3846461
Case Number EO-2014297-000099
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ST ANIMAL PET ADOPTIONS
Organization’s Mailing Address 10405 ST CHARLES ROCK ROAD
City ST ANN
State MO
ZIP 63074
Accounting period End 12
Primary contact name JOSEPH H HELD CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CYNTHIA BASHAM
PRESIDENT
10967 ST FRANCIS LN
ST ANN MO 63074

Officer/Director/Trustee Two

SHERRY HOFFMAN
VICE PRESIDENT
4324 ASHBY ROAD
ST. ANN MO 63074

Officer/Director/Trustee Three

MELISSA SCHACK
SECRETARY
4322 CHANNEL DR
FLORISSANT MO 63034

Officer/Director/Trustee Four

CURT SWEARINGEN
MEDIA
4322 CHANNEL DR
FLORISSANT MO 63034

Officer/Director/Trustee Five

SHANNON FLESCHERT
ANIMAL CONTROL OFFICER
10405 ST CHARLES ROCK RD
ST ANN MO 63074

Organization’s website WWW.SAPAMO.ORG
Organization’s email STANIMALPETADOPTIONS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/22/2011
Organization Incorporation State MO
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 Yes
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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