FORM 1023-EZ for ADAPTIVE ANIMAL EXPERIENCES INCORPORATED

Field Data
EIN 84-2264678
Case Number EO-2020318-000106
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ADAPTIVE ANIMAL EXPERIENCES INCORPORATED
Organization’s Mailing Address 448 37TH STREET
City BROOKLYN
State NY
ZIP 11232
Accounting period End 6
Primary contact name MICHAEL FERRETTI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL FERRETTI
BOARD CHAIR
448 37TH STREET
BROOKLYN NY 11232

Officer/Director/Trustee Two

RUEL MINOTT
VICE CHAIR
1809 ALBEMARLE RD APARTMENT A11
BROOKLYN NY 11226

Officer/Director/Trustee Three

DAKHIL NASER-ALLAH
SECRETARY
469 14TH ST
BROOKLYN NY 11215

Officer/Director/Trustee Four

PAUL MASULLO
TREASURER
577 JEWETT AVE
STATEN ISLAND NY 10302

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/18/2019
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D99 - Animal-Related N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 MICHAEL FERRETTI
Signature Title BOARD CHAIR
Signature Date 11/11/2020

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