FORM 1023-EZ for FOOD FOUR PAWS PET PANTRY INC

Field Data
EIN 36-4794526
Case Number EO-2015307-000145
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FOOD FOUR PAWS PET PANTRY INC
Organization’s Mailing Address 2380 SUDDENLINK WAY 307
City BULLHEAD CITY
State AZ
ZIP 86429
Accounting period End 8
Primary contact name BRENDA FURY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BRENDA FURY
PRESIDENT
5731 S IROQUOIS LOOP
FORT MOHAVE AZ 86426

Officer/Director/Trustee Two

TESSA FURY
VISE PRESIDENT
5731 S IROQUOIS LOOP
FORT MOHAVE AZ 86426

Officer/Director/Trustee Three

RIGA DAVIDSON
TREASURER
5667 FLINT
FORT MOHAVE AZ 86426

Officer/Director/Trustee Four

ALLYSON FAIR
SECRETARY
4920 S RINALDI CIRCLE
FORT MOHAVE AZ 86426

Officer/Director/Trustee Five

LAURA GARROD
BOARD MEMBER
1067 DESERT ACACIA
BULLHEAD CITY AZ 86429

Organization’s website WWW.FOOD4PAWS.ORG
Organization’s email FOODFOURPAWS@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/25/2014
Organization Incorporation State AZ
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 Yes
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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