FORM 1023-EZ for GREYHOUND PET ADOPTION FL SE INC

Field Data
EIN 65-0125572
Case Number EO-2014267-000301
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GREYHOUND PET ADOPTION FL SE INC
Organization’s Mailing Address 1060 SW BENCHOR AVE
City PORT SAINT LUCIE
State FL
ZIP 34953-3424
Accounting period End 12
Primary contact name JAY FLEISHER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JOSEFA PINERO
DIRECTOR
1060 SW BENCHOR AVE
PORT SAINT LUCIE FL 34953-3424

Officer/Director/Trustee Two

MARYANN GRZYBOWSKI
DIRECTOR
1060 SW BENCHOR AVE
PORT SAINT LUCIE FL 34953-3424

Officer/Director/Trustee Three

MACE TAMSE
DIRECTOR
1060 SW BENCHOR AVE
PORT SAINT LUCIE FL 34953-3424

Officer/Director/Trustee Four

CATHERINE GIACARI
DIRECTOR
1060 SW BENCHOR AVE
PORT SAINT LUCIE FL 34953-3424

Officer/Director/Trustee Five

BARBARA SPRANO
DIRECTOR
1060 SW BENCHOR AVE
PORT SAINT LUCIE FL 34953-3424

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/30/1998
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
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 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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