FORM 1023-EZ for FOR PAWS PET PATRONAGE INC

Field Data
EIN 82-5114115
Case Number EO-2019063-000567
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FOR PAWS PET PATRONAGE INC
Organization’s Mailing Address 4411 JIM BRANCH RD
City KISSIMMEE
State FL
ZIP 34744
Accounting period End 12
Primary contact name THOMAS ATKINS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

THOMAS ATKINS
VICE PRESIDENT
4411 JIM BRANCH ROAD
KISSIMMEE FL 34744

Officer/Director/Trustee Two

TRACY ATKINS
PRESIDENT
4411 JIM BRANCH RD
KISSIMMEE FL 34744

Officer/Director/Trustee Three

JASON ATKINS
SECRETARY
4411 JIM BRANCH RD
KISSIMMEE FL 34744

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/19/18
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D12 - Fund Raising and/or Fund Distribution
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 THOMAS ATKINS
Signature Title VICE PRESIDENT
Signature Date 3/2/19

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