FORM 1023-EZ for FUR-GET ME NOT ANIMAL RESCUE INC

Field Data
EIN 81-5401691
Case Number EO-2017065-000246
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FUR-GET ME NOT ANIMAL RESCUE INC
Organization’s Mailing Address 348 COUNTY RTE 56
City NEW HAMPTON
State NY
ZIP 10958
Accounting period End 12
Primary contact name HEATHER SIMONSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LORETTA IRIBARREN
DIRECTOR
348 COUNTY RTE 56
NEW HAMPTON NY 10958

Officer/Director/Trustee Two

HEATHER SIMONSON
DIRECTOR
134 LEDGEWAY DR
DINGMANS FERRY PA 18328

Officer/Director/Trustee Three

LISA IRIBARREN
DIRECTOR
216 TWIN LAKES RD
SHOHOLA PA 18458

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/3/2017
Organization Incorporation State NY
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 Yes
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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