FORM 1023-EZ for KINGMAN PET FOUNDATION

Field Data
EIN 81-3398284
Case Number EO-2017216-000273
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KINGMAN PET FOUNDATION
Organization’s Mailing Address 10595 PAINTED ROCK RD
City KINGMAN
State AZ
ZIP 86401
Accounting period End 12
Primary contact name CASSANDRA MCEUEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RUBY DUEY
MARKETING
10595 PAINTED ROCK RD
KINGMAN AZ 86401

Officer/Director/Trustee Two

CASSANDRA MCEUEN
TREASURER
2197 PRODUCERS MINE RD
KINGMAN AZ 86401

Officer/Director/Trustee Three

NANCY PONDS
PRESIDENT
3910 N RAINBOW
KINGMAN AZ 86409

Officer/Director/Trustee Four

ERIKA ANGONE
PRESIDENT
3375 DUVALL
KINGMAN AZ 86401

Officer/Director/Trustee Five

D ARCY DOWNS-VOLLBRACHT
SECRETARY
5373 US HWY 68 STE D 277
GOLDEN VALLEY AZ 86413

Organization’s website KINGMANPETFOUNDATION.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/17/2016
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: 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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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