FORM 1023-EZ for GARFIELD ANIMAL COMPANIONS INC

Field Data
EIN 83-1159987
Case Number EO-2018192-000293
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GARFIELD ANIMAL COMPANIONS INC
Organization’s Mailing Address 6749 HIGHWAY 1401
City GARFIELD
State KY
ZIP 40140
Accounting period End 6
Primary contact name SUSAN M BERUBE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SUSAN M BERUBE
FOUNDER/DIRECTOR
6749 HIGHWAY 1401
GARFIELD KY 40140

Officer/Director/Trustee Two

AUTUMN M QUICK
BOARD OF DIRECTORS
14450 HIGHWAY 690
CUSTER KY 40115

Officer/Director/Trustee Three

DAVID A COMPTON
BOARD OF DIRECTORS
6120 E HIGHWAY 86
CUSTER KY 40115

Officer/Director/Trustee Four

ELISA S GARCIA
BOARD OF DIRECTORS
100 STOCKTON CT A
RADCLIFF KY 40160

Organization’s website
Organization’s email SUZZYV@MSN.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/9/18
Organization Incorporation State KY
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: 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 SUSAN M BERUBE
Signature Title FOUNDER/DIRECTOR
Signature Date 7/9/18

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