FORM 1023-EZ for HEALING PAWS ANIMAL THERAPY INC

Field Data
EIN 81-4846257
Case Number EO-2017033-000193
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HEALING PAWS ANIMAL THERAPY INC
Organization’s Mailing Address 36181 EAST LAKE ROAD STE 272
City PALM HARBOR
State FL
ZIP 34685
Accounting period End 12
Primary contact name CARL GORDON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHARLES BRANTLEY
PRESIDENT
PO BOX 460
SOPCHOPPY FL 32358

Officer/Director/Trustee Two

GAIL BRANTLEY
VICE PRESIDENT
PO BOX 460
SOPCHOPPY FL 32358

Officer/Director/Trustee Three

PATRICIA DEWITT
SECRETARY
16275 COLLINS AVENUE 1104
NORTH MIAMI BEACH FL 33160

Officer/Director/Trustee Four

CARL GORDON
TREASURER
36181 E LAKE ROAD STE 272
PALM HARBOR FL 34685

Organization’s website WWW.SUPERDOGMAX.COM
Organization’s email SUPERDOGMAXANDRUBY@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/28/2016
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E50 - Rehabilitative Medical Services
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
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 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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