FORM 1023-EZ for CENTRAL FLORIDA SHAR PEI RESCUE INC

Field Data
EIN 81-4638674
Case Number EO-2017074-000153
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CENTRAL FLORIDA SHAR PEI RESCUE INC
Organization’s Mailing Address 2850 25TH AVE NORTH
City ST. PETE
State FL
ZIP 33713
Accounting period End 2
Primary contact name MARY PONTONE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARY PONTONE
DIRECTOR
2850 25TH AVE N
ST. PETE FL 33713

Officer/Director/Trustee Two

MICHELLE CERVANTES
DIRECTOR
7055 MONTAUK POINT XNG
BRADENTON FL 34212

Officer/Director/Trustee Three

SUE MELTON
SECRETARY
6722 5TH AVE N
ST. PETE FL 33710

Officer/Director/Trustee Four

PAULA CULLISON
TREASURER
870 VAN GOGH ROAD
ENGLEWOOD FL 34223

Organization’s website
Organization’s email SHARPEIRESCUEFLORIDA@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/21/2017
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D01 - Alliance/Advocacy Organizations
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
Signature Title
Signature Date

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