FORM 1023-EZ for KS SENIOR PET FUREVER HOME AND HOSPICE

Field Data
EIN 83-1251254
Case Number EO-2018205-000114
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KS SENIOR PET FUREVER HOME AND HOSPICE
Organization’s Mailing Address 300 HURLBUT ROAD
City DRIPPING SPRINGS
State TX
ZIP 78620
Accounting period End 9
Primary contact name KATHRYN ALLEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KATHRYN ALLEN
PRESIDENT
300 HURLBUT ROAD
DRIPPING SPRINGS TX 78620

Officer/Director/Trustee Two

SHARON LEWIS
VICE PRESIDENT
700 PINE TRAIL
MERTZON TX 76941

Officer/Director/Trustee Three

SHANNON BURKE
SECRETARY-TREASURER
300 HURLBUT ROAD
DRIPPING SPRINGS TX 78620

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/20/18
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: 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 KATHRYN ALLEN
Signature Title PRESIDENT
Signature Date 7/22/18

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