FORM 1023-EZ for FAIRY TAILS ANIMAL SHELTER

Field Data
EIN 84-5056496
Case Number EO-2020072-000343
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FAIRY TAILS ANIMAL SHELTER
Organization’s Mailing Address 12020 MELODY DR
City WESTMINSTER
State CO
ZIP 80234
Accounting period End 12
Primary contact name SANDRA MCDONALD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SANDRA MCDONALD
PRESIDENT
12020 MELODY DR
WESTMINSTER CO 80234

Officer/Director/Trustee Two

DAVID MCDONALD
VICE PRESIDENT
12020 MELODY DR
WESTMINSTER CO 80234

Officer/Director/Trustee Three

JORDAN CISNEROS
SECRETARY
12020 MELODY DR
WESTMINSTER CO 80234

Officer/Director/Trustee Four

JORDAN CISNEROS
TREASURER
12020 MELODY DR
WESTMINSTER CO 80234

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/10/2020
Organization Incorporation State CO
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: No
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 Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name SANDRA MCDONALD
Signature Title PRESIDENT
Signature Date 3/10/2020

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