FORM 1023-EZ for VETERANS PET CARE ORGANIZATION

Field Data
EIN 84-3617789
Case Number EO-2019316-000020
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name VETERANS PET CARE ORGANIZATION
Organization’s Mailing Address 21763 SAMSON AVE
City CORNING
State CA
ZIP 96021
Accounting period End 12
Primary contact name TERRY CARLISI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TERRY CARLISI
PRESIDENT
21763 SAMSON AVE
CORNING CA 96021

Officer/Director/Trustee Two

DEBBIE CARLISI
TREASURER
21860 SACRAMENTO AVE
RED BLUFF CA 96080

Officer/Director/Trustee Three

RACHEL TAYLOR
SECRETARY
21764 SAMSON AVE
CORNING CA 96021

Organization’s website
Organization’s email GTWBUFFALO@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/25/19
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
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 Yes
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 TERRY CARLISI
Signature Title PRESIDENT
Signature Date 11/7/19

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