FORM 1023-EZ for ABSC PET HEALTH FOUNDATION INC

Field Data
EIN 84-4426602
Case Number EO-2020036-000459
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ABSC PET HEALTH FOUNDATION INC
Organization’s Mailing Address 12806 TOUCHSTONE PLACE
City PALM BEACH GARDENS
State FL
ZIP 33418
Accounting period End 12
Primary contact name S DAVID MOCHE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

S DAVID MOCHE
PRESIDENT
525 EAST 89 STREET APT 2K
NEW YORK NY 10128

Officer/Director/Trustee Two

ALAN SHACKELFORD
VICE PRESIDENT
1171 RIDGE OAKS DRIVE
CASTLE ROCK CO 80104

Organization’s website
Organization’s email DAVID@APPLIEDBASICSCIENCE.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/1/2020
Organization Incorporation State FL
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: Yes
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 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 S DAVID MOCHE
Signature Title PRESIDENT
Signature Date 2/3/2020

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