FORM 1023-EZ for RESTHAVEN RETIRED PETS INC

Field Data
EIN 84-2141396
Case Number EO-2019184-000050
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name RESTHAVEN RETIRED PETS INC
Organization’s Mailing Address 1473 BOWERS STORE ROAD
City SILER CITY
State NC
ZIP 27344-9399
Accounting period End 12
Primary contact name MELISSA MICHAEL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MELISSA MICHAEL
EXECUTIVE DIRECTOR
1473 BOWERS STORE ROAD
SILER CITY NC 27344-9399

Officer/Director/Trustee Two

PEGGY LEGGETT
BOARD CHAIR
2355 CHARLIE BROOKS ROAD
MONCURE NC 27559

Officer/Director/Trustee Three

LISSETTE CORE
SECRETARY
105 WOODSORRELL COURT
GARNER NC 27529

Organization’s website WWW.RESTHAVENORG.WORDPRESS,COM
Organization’s email MELISSAMICHAEL@PROTONMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/6/19
Organization Incorporation State NC
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: 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MELISSA MICHAEL
Signature Title EXECUTIVE DIRECTOR
Signature Date 7/1/19

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