FORM 1023-EZ for BELLABONS PET RECOVERY SERVICES

Field Data
EIN 81-5282742
Case Number EO-2017044-000096
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BELLABONS PET RECOVERY SERVICES
Organization’s Mailing Address 119 FAIRGROUND STREET
City MUNCY
State PA
ZIP 17756
Accounting period End 12
Primary contact name LANCE NIELSEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BONNIE SNYDER
DIRECTOR AND PRESIDENT
119 FAIRGROUND STREET
MUNCY PA 17756

Officer/Director/Trustee Two

CYNDI LINDENMUTH
DIRECTOR AND VICE PRESIDENT
526 MOUNTAIN ROAD
CATAWISSA PA 17820

Officer/Director/Trustee Three

CIVETA CLAYTON
DIRECTOR AND TREASURER
109 NORTH 3RD STREET
HUGHESVILLE PA 17737

Officer/Director/Trustee Four

LANCE NIELSEN
DIRECTOR AND SECRETARY
292 QUARRY DRIVE
BLOOMSBURG PA 17815

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/29/2016
Organization Incorporation State PA
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: 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
Signature Title
Signature Date

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