FORM 1023-EZ for PETS FOR VETS - SOUTHWEST INDIANA INC

Field Data
EIN 46-5392371
Case Number EO-2014254-000106
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PETS FOR VETS - SOUTHWEST INDIANA INC
Organization’s Mailing Address 6511 VANADA ROAD
City NEWBURGH
State IN
ZIP 47630
Accounting period End 12
Primary contact name JAMES R VANADA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MARTHA VANADA
DIRECTOR, PRESIDENT
6511 VANADA ROAD
NEWBURGH IN 47630

Officer/Director/Trustee Two

DELBERT GOFF
DIRECTOR, VICE-PRESIDENT
1125 TOWER DRIVE
BOONVILLE IN 47630

Officer/Director/Trustee Three

JAMES VANADA
DIRECTOR, SECRETARY-TREASURER
6511 VANADA ROAD
NEWBURGH IN 47630

Officer/Director/Trustee Four

GARY WILCHER
DIRECTOR
7922 RIDGEMONT DRIVE
NEWBURGH IN 47630

Officer/Director/Trustee Five

LINDA CALLI
DIRECTOR
5400 EAST SHERWOOD DRIVE
NEWBURGH IN 47630

Organization’s website PETS-FOR-VETS.COM/CATAGORY/MIDWEST/SWIND
Organization’s email SOUTHWEST-IN@PETS-FOR-VETS.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/2/2014
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D60 - Other Services - Specialty Animals
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
Signature Title
Signature Date

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