FORM 1023-EZ for KINDRED SPIRITS VETERINARY MEDICALAID

Field Data
EIN 85-3466415
Case Number EO-2021029-000046
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KINDRED SPIRITS VETERINARY MEDICALAID
Organization’s Mailing Address 2200 BELVIDERE RD
City PHILLIPSBURG
State NJ
ZIP 08865-2116
Accounting period End 12
Primary contact name JAY KIM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAY KIM
CHIEF OPERATING OFFICER
2200 BELVIDERE RD
PHILLIPSBURG NJ 08865-2116

Officer/Director/Trustee Two

RYAN EPPLE
PRESIDENT OF THE BOARD
528 PAXINOSA AVE
EASTON PA 18045-1622

Officer/Director/Trustee Three

MELISSA UNANGST
TREASURER OF THE BOARD
330 NORTHAMPTON ST
EASTON PA 18042-3592

Officer/Director/Trustee Four

MINJEONG GWON
SECRETARY OF THE BOARD
21 YELLOW ROSE LN
EASTON PA 18045-6125

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/20/2020
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
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 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 No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JAY KIM
Signature Title CHIEF OPERATING OFFICER
Signature Date 12/13/2020

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