FORM 1023-EZ for THE AL PACINO FAMILY ANIMAL RESCUEINC

Field Data
EIN 84-4946250
Case Number EO-2020156-000158
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE AL PACINO FAMILY ANIMAL RESCUEINC
Organization’s Mailing Address 2841 BARITE DRIVE
City LAKE HAVASU CITY
State AZ
ZIP 86404
Accounting period End 12
Primary contact name CYNTHIA BENNETT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHARLES NEWCOMB III
PRESIDENT
2841 BARITE DRIVE
LAKE HAVASU CITY AZ 86404

Officer/Director/Trustee Two

CYNTHIA BENNETT
TREASURER
2841 BARITE DRIVE
LAKE HAVASU CITY AZ 86404

Officer/Director/Trustee Three

BRANDON PECK
SECRETARY
2841 BARITE DRIVE
LAKE HAVASU CITY AZ 86404

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/15/2020
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 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 CHARLES NEWCOMB III
Signature Title PRESIDENT
Signature Date 6/2/2020

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