FORM 1023-EZ for ANIMAL ASSISTED THERAPY SERVICES MA

Field Data
EIN 82-5035719
Case Number EO-2018140-000013
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ANIMAL ASSISTED THERAPY SERVICES MA
Organization’s Mailing Address 4 SUMMIT ST
City SPENCER
State MA
ZIP 1562
Accounting period End 6
Primary contact name KIMBERLY FONTAINE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHRIS PATELLA
VICE PRESIDENT
42 WASHINGTON MANOR
WEST HAVEN CT 6516

Officer/Director/Trustee Two

JANICE BELANGER
CLERK
3770 PINEBROOK CIR 1
BRADENTON FL 34209

Officer/Director/Trustee Three

KIMBERLY FONTAINE
DIRECTOR, PRESIDENT, TREASURER
4 SUMMIT ST
SPENCER MA 1562

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/15/18
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D60 - Other Services - Specialty Animals
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 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 KIMBERLY FONTAINE
Signature Title DIRECTOR, PRESIDENT, TREASURER
Signature Date 5/15/18

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