FORM 1023-EZ for COMPANION PETS IN CRISIS

Field Data
EIN 47-5582086
Case Number EO-2016020-000217
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name COMPANION PETS IN CRISIS
Organization’s Mailing Address 4101 E SHEENA DR
City PHOENIX
State AZ
ZIP 85032-5431
Accounting period End 12
Primary contact name LISA MARTIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LISA MARTIN
PRESIDENT
4101 E SHEENA DR
PHOENIX AZ 85032-5431

Officer/Director/Trustee Two

DENISE STEIGER
VICE PRESIDENT
2425 W BENT TREE DR
PHOENIX AZ 85085-4738

Officer/Director/Trustee Three

DANIEL MARTIN
DIRECTOR OF IT
4101 E SHEENA DR
PHOENIX AZ 85032-5431

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/28/2015
Organization Incorporation State AZ
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 Yes
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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