FORM 1023-EZ for PET CARE AND ASSISTANCE FUND INC

Field Data
EIN 47-2163857
Case Number EO-2014323-000291
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PET CARE AND ASSISTANCE FUND INC
Organization’s Mailing Address 1612 NORTH HIGH POINT ROAD
City MIDDLETON
State WI
ZIP 53562
Accounting period End 12
Primary contact name AMY L BARNES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KYLE VON RUDEN
PRESIDENT
700 REGENT STREET
MADISON WI 53715

Officer/Director/Trustee Two

MARK KREBSBACH
TREASURER
6515 WATTS ROAD
MADISON WI 53719

Officer/Director/Trustee Three

MARY KAMINSKI
DIRECTOR
1612 NORTH HIGH POINT ROAD
MIDDLETON WI 53562

Officer/Director/Trustee Four

MARK MEINHOLZ
DIRECTOR
4319 TWIN VALLEY ROAD
MIDDLETON WI 53562

Officer/Director/Trustee Five

BEN GRAWE
DIRECTOR
111 E WISCONSIN AVENUE
MILWAUKEE WI 53202

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/16/2014
Organization Incorporation State WI
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 Yes
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
Signature Title
Signature Date

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