FORM 1023-EZ for PET DISEASE ALERTS INC

Field Data
EIN 83-2001799
Case Number EO-2019176-000175
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PET DISEASE ALERTS INC
Organization’s Mailing Address 6331 WALINA COURT SE
City SALEM
State OR
ZIP 97317
Accounting period End 12
Primary contact name JOHN THOMAS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

EMILIO DEBESS
PRESIDENT
0305 SW MONGOMERY AVE
PORTLAND OR 97201

Officer/Director/Trustee Two

RICK MARRINSON
VICE PRESIDENT
1080 WEST STATE ROAD 434
LONGWOOD FL 32750

Officer/Director/Trustee Three

CRAIG PRIOR
IMMEDIATE PAST PRESIDENT
1014 DOVELAND COURT
BRENTWOOD TN 37027

Officer/Director/Trustee Four

JOHN THOMAS
INCORPORATOR
6849 OLD DOMINION DRIVE
MCLEAN VA 22101

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/17/18
Organization Incorporation State DE
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: Yes
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 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 JOHN THOMAS
Signature Title INCORPORATOR
Signature Date 6/20/19

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