FORM 1023-EZ for JACKSONVILLE AREA RESCUE SANCTUARYINC

Field Data
EIN 84-2090080
Case Number EO-2019184-000115
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JACKSONVILLE AREA RESCUE SANCTUARYINC
Organization’s Mailing Address 13364 BEACH BLVD UNIT 526
City JACKSONVILLE
State FL
ZIP 32224
Accounting period End 12
Primary contact name NITIN CHANDARIA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NITIN CHANDARIA
OFFICER
13364 BEACH BLVD UNIT 526
JACKSONVILLE FL 32224

Officer/Director/Trustee Two

SHABNAM PATEL
DIRECTOR
3823 CATANIA PLACE
JACKSONVILLE FL 32224

Officer/Director/Trustee Three

TAMARA PEREZ
DIRECTOR
13424 STONE POND DRIVE
JACKSONVILLE FL 32224

Officer/Director/Trustee Four

LOUISE HORN
DIRECTOR
13430 STONE POND DRIVE
JACKSONVILLE FL 32224

Organization’s website
Organization’s email NITS009@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/4/19
Organization Incorporation State FL
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 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 TAMARA PEREZ
Signature Title DIRECTOR
Signature Date 7/1/19
EIN 84-2090080
Case Number EO-2019184-000115
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JACKSONVILLE AREA RESCUE SANCTUARY INC
Organization’s Mailing Address 13364 BEACH BLVD UNIT 526
City JACKSONVILLE
State FL
ZIP 32224
Accounting period End 12
Primary contact name NITIN CHANDARIA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NITIN CHANDARIA
OFFICER
13364 BEACH BLVD UNIT 526
JACKSONVILLE FL 32224

Officer/Director/Trustee Two

SHABNAM PATEL
DIRECTOR
3823 CATANIA PLACE
JACKSONVILLE FL 32224

Officer/Director/Trustee Three

TAMARA PEREZ
DIRECTOR
13424 STONE POND DRIVE
JACKSONVILLE FL 32224

Officer/Director/Trustee Four

LOUISE HORN
DIRECTOR
13430 STONE POND DRIVE
JACKSONVILLE FL 32224

Organization’s website
Organization’s email NITS009@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/4/19
Organization Incorporation State FL
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 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 TAMARA PEREZ
Signature Title DIRECTOR
Signature Date 7/1/19

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