FORM 1023-EZ for PROVIDING ANIMAL WELFARE SERVICES INC

Field Data
EIN 82-2024946
Case Number EO-2017291-000263
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PROVIDING ANIMAL WELFARE SERVICES INC
Organization’s Mailing Address 2565 58TH TERRACE SOUTH
City ST PETERSBURG
State FL
ZIP 33712-5211
Accounting period End 12
Primary contact name SANDI FORD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SANDI FORD
PRESIDENT
2565 58TH TERRACE SOUTH
ST PETERSBURG FL 33712-5211

Officer/Director/Trustee Two

THERESA QUIROGA
VICE PRESIDENT
654 100TH AVENUE NORTH APT 206
ST PETERSBURG FL 33702

Officer/Director/Trustee Three

SEEMA URA
SECRETARY
6730 14TH STREET SOUTH
ST PETERSBURG FL 33705

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/1/2017
Organization Incorporation State FL
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 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 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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