FORM 1023-EZ for CRITTER FIXERS

Field Data
EIN 83-1619440
Case Number EO-2018260-000627
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CRITTER FIXERS
Organization’s Mailing Address 5173 EZBON HOLLAND RD
City SPRINGFIELD
State TN
ZIP 37172-8044
Accounting period End 12
Primary contact name CHANTELE GONZALEZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHANTELE GONZALEZ
PRESIDENT
5173 EZBON HOLLAND RD
SPRINGFIELD TN 37172-8044

Officer/Director/Trustee Two

SARA BEASLEY
TREASURER
5173 EZBON HOLLAND RD
SPRINGFIELD TN 37172-8044

Officer/Director/Trustee Three

AMANDA MELTON
SECRETARY
5173 EZBON HOLLAND RD
SPRINGFIELD TN 37172-8044

Organization’s website N/A
Organization’s email FIXMYCRITTER@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/12/18
Organization Incorporation State TN
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: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name CHANTELE GONZALEZ
Signature Title PRESIDENT
Signature Date 9/15/18

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