FORM 1023-EZ for PETS FOR VETS - NORTHWEST MICHIGAN

Field Data
EIN 47-4264770
Case Number EO-2015353-000022
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PETS FOR VETS - NORTHWEST MICHIGAN
Organization’s Mailing Address 1832 COTTONTAIL DRIVE
City TRAVERSE CITY
State MI
ZIP 49685
Accounting period End 12
Primary contact name CATHRYN MOE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CATHRYN M MOE
DIRECTOR
1832 COTTONTAIL DRIVE
TRAVERSE CITY MI 49685

Officer/Director/Trustee Two

SANDRA LEJEUNE
SECRETARY/TREASURER
1272 WEST SILVER LAKE ROAD N
TRAVERSE CITY MI 49685

Officer/Director/Trustee Three

MEG PAXTON
ASSISTANT DIRECTOR
6000 E HOXIE ROAD
CEDAR MI 49621

Organization’s website WWW.PETSFORVETS.COM/NW-MI
Organization’s email NORTHWEST-MI@PETSFORVETS.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/29/2015
Organization Incorporation State MI
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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