FORM 1023-EZ for QUEEN CITY PITTIES ANIMAL RESCUE LLC

Field Data
EIN 82-4596676
Case Number EO-2018075-000248
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name QUEEN CITY PITTIES ANIMAL RESCUE LLC
Organization’s Mailing Address 1601 COLVIN BOULEVARD
City TONAWANDA
State NY
ZIP 14223-1133
Accounting period End 12
Primary contact name JENNIFER BELZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JENNIFER BELZ
DIRECTOR
1601 COLVIN BLVD
TONAWANDA NY 14223-1133

Officer/Director/Trustee Two

SHANE WELKER
DIRECTOR
1601 COLVIN BOULEVARD
TON NY 14223-1133

Officer/Director/Trustee Three

NICOLE KROPP
DIRECTOR
85 CALLODINE
BUFFALO NY 14226

Organization’s website WWW.QUEENCITYPITTIES.COM
Organization’s email INFO@QUEENCITYPITTIES.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/27/18
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D11 - Single Organization Support
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 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 JENNIFER BELZ
Signature Title DIRECTOR
Signature Date 3/14/18

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