FORM 1023-EZ for BELLY UP FOR ADOPTIONS

Field Data
EIN 46-0612106
Case Number EO-2016012-000193
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BELLY UP FOR ADOPTIONS
Organization’s Mailing Address 520 INTERSTATE
City ADDISON
State IL
ZIP 60101
Accounting period End 12
Primary contact name SUSAN AIKMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SUSAN AIKMAN
PRESIDENT
612 E WESTERN
LOMBARD IL 60148

Officer/Director/Trustee Two

PAT ONEILL
TREASURER
130 S CHARLOTTE
LOMBARD IL 60148

Officer/Director/Trustee Three

KATIE HAWKINS
BOARD MEMBER
219 W 20TH NST
LOMBARD IL 60148

Officer/Director/Trustee Four

SANDY REYNOLDS
BOARD MEMBER
446 S LOMBARD ST
LOMBARD IL 60148

Officer/Director/Trustee Five

ASHLEY STREMPEK
BOARD MEMBER
718 IROQUOIS TRAIL
CAROL STREAM IL 60188

Organization’s website WWW.BELLYUPFORADOPTIONS.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/21/2012
Organization Incorporation State IL
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: No
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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