FORM 1023-EZ for ANIMAL RESCUE AND WELFARE SERVICESINC

Field Data
EIN 30-0950784
Case Number EO-2016259-000160
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ANIMAL RESCUE AND WELFARE SERVICESINC
Organization’s Mailing Address 1258 STATE ROUTE 11
City CHAMPLAIN
State NY
ZIP 12919-4531
Accounting period End 12
Primary contact name WILLIAM TALLMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WILLIAM TALLMAN
DIRECTOR
1258 ROUTE 11
CHAMPLAIN NY 12919-4531

Officer/Director/Trustee Two

LILLIAN CASSIDY
DIRECTOR
20 ST JOHN STREET
PLATTSBURGH NY 12901

Officer/Director/Trustee Three

THOMAS SALKA
DIRECTOR
841 SLOSSON ROAD
WEST CHAZY NY 12992

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/12/2016
Organization Incorporation State NY
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: No
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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