FORM 1023-EZ for ANIMAL SAFEHOUSE OF BREVARD

Field Data
EIN 27-1193005
Case Number EO-2020058-000154
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ANIMAL SAFEHOUSE OF BREVARD
Organization’s Mailing Address 158 HARDING AVE
City COCOA BEACH
State FL
ZIP 32931
Accounting period End 12
Primary contact name LEANDRA PRESTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LEANDRA PRESTON
FOUNDER/DIRECTOR
158 HARDING AVE
COCOA BEACH FL 32931

Officer/Director/Trustee Two

KATE FLACK
SECRETARY
2510 PALM LAKE DRIVE
MERRITT ISLAND FL 32952

Officer/Director/Trustee Three

JAMES LUTHER
TREASURER
250 E HORNBEAM DRIVE
LONGWOOD FL 32779

Organization’s website HTTP://ANIMALSAFEHOUSEBREVARD.ORG/
Organization’s email ANIMALSAFEHOUSE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/23/2009
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P43 - Family Violence Shelters, Services
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name LEANDRA PRESTON
Signature Title FOUNDER/DIRECTOR
Signature Date 2/25/2020

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