FORM 1023-EZ for ANIMAL EDUCATION AND WELFARE ASSOCIATION

Field Data
EIN 30-0862931
Case Number EO-2015180-000306
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ANIMAL EDUCATION AND WELFARE ASSOCIATION
Organization’s Mailing Address 4450 KELLOG RD
City PHRUMP
State NV
ZIP 89176
Accounting period End 12
Primary contact name KENNETH H CERMAK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KENNETH H CERMAK
DIRECTOR
401-B PINE RD
ORMOND BEACH FL 89176

Officer/Director/Trustee Two

ANTON F HANTIG
DIRECTOR
2225 MONTESSOURI ST
LAS VEGAS NV 89117-2813

Officer/Director/Trustee Three

FERDINAND FERCOS
DIRECTOR
2225 MONTESSOURI ST
LAS VEGAS NV 89117-2813

Officer/Director/Trustee Four

MARIANNE SLAMA
DIRECTOR
4450 KELLOG RD
PAHRUMP NV 89061

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/15/2015
Organization Incorporation State
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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