FORM 1023-EZ for FORGET ME NOT ANIMAL SANCTUARY OF LAS VEGAS

Field Data
EIN 81-1271781
Case Number EO-2016130-000244
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FORGET ME NOT ANIMAL SANCTUARY OF LAS VEGAS
Organization’s Mailing Address 7233 PUDDLE DUCK STREET
City LAS VEGAS
State NV
ZIP 89166-6553
Accounting period End 1
Primary contact name KIERRA JOHNSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KIERRA JOHNSON
FOUNDER/PRESIDENT/TREASURER
7233 PUDDLE DUCK STREET
LAS VEGAS NV 89166-6553

Organization’s website FORGETMENOTASLV.ORG
Organization’s email FORGETMENOTASLV@ICLOUD.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/31/2016
Organization Incorporation State NV
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
Signature Title
Signature Date

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