FORM 1023-EZ for MOMS PETS

Field Data
EIN 80-0505841
Case Number EO-2016214-000281
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MOMS PETS
Organization’s Mailing Address 1065 ACORN LANE
City JAMES CREEK
State PA
ZIP 16657
Accounting period End 12
Primary contact name LAURIE MEYERS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LAURIE MEYERS
PRESIDENT
1065 ACORN LANE
JAMES CREEK PA 16657

Officer/Director/Trustee Two

DONALD MEYERS
VICE PRESIDENT
1065 ACORN LANE
JAMES CREEK PA 16657

Officer/Director/Trustee Three

JESSICA SHOPE
SECRETARY
314 15TH STREET
HUNTINGDON PA 16652

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