FORM 1023-EZ for PAW PALS SAFE HAVEN

Field Data
EIN 85-3647535
Case Number EO-2021081-000455
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PAW PALS SAFE HAVEN
Organization’s Mailing Address BOX 218133
City HOUSTON
State TX
ZIP 77218-8133
Accounting period End 12
Primary contact name SHANTIA THOMAS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHANTIA THOMAS
EXECUTIVE DIRECTOR
6215 COVENTRY FIELD LN
HOUSTON TX 77084

Officer/Director/Trustee Two

CYNTHIA HENRY
BOARD MEMBER
3952 COUNTY RD 353
BRAZORIA TX 77422

Officer/Director/Trustee Three

MARVIS JACKSON
BOARD MEMBER
4923 RIDGE HARBOR LN
HOUSTON TX 77053

Organization’s website pawpals4life.org
Organization’s email tiathomas@pawpals4life.org
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/22/2020
Organization Incorporation State TX
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: 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 Yes
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 SHANTIA THOMAS
Signature Title EXECUTIVE DIRECTOR
Signature Date 1/28/2021

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