FORM 1023-EZ for KEEP YOUR PETS INC

Field Data
EIN 46-2034912
Case Number EO-2017107-000319
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KEEP YOUR PETS INC
Organization’s Mailing Address 3473 STATE RD 60
City JACKSON
State WI
ZIP 53037
Accounting period End 12
Primary contact name JACQUELYN FOGEL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JACQUELYN FOGEL
PRESIDENT
3800 PLEASANT VALLEY RD
WEST BEND WI 53295-9272

Officer/Director/Trustee Two

ANDREA RICH
VICE PRESIDENT
5516 S 84TH ST
GREENDALE WI 53129

Officer/Director/Trustee Three

THOMAS RICH
TREASURER
3800 PLEASANT VALLEY RD
WEST BEND WI 53095-9272

Officer/Director/Trustee Four

PATTI WILSON
SECRETARY
320 KETTLE COURT
SLINGER WI 53086

Officer/Director/Trustee Five

AMY SPEAR
DIRECTOR
3473 STATE RD 60
JACKSON WI 53037

Organization’s website WWW.KEEPYOURPETS.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/4/2013
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
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 Yes
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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date
EIN 46-2034912
Case Number EO-2014321-000635
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KEEP YOUR PETS INC
Organization’s Mailing Address 3473 STATE HWY 60
City JACKSON
State WI
ZIP 53037
Accounting period End 12
Primary contact name JACQUELYN FOGEL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JACQUELYN FOGEL
PRESIDENT
3473 STATE HWY 60
JACKSON WI 53095

Officer/Director/Trustee Two

DORI ANDERSON
SECRETARY
7130 CRY HWY O
HARTFORD WI 53027

Officer/Director/Trustee Three

THOMAS RICH
TREASURER
3472 STATE HWY 60
JACKSON WI 53095

Officer/Director/Trustee Four

PATTI WILSON
DIRECTOR
320 KETTLE CT
SLINGER WI 53086

Officer/Director/Trustee Five

ANDREA RICH
DIRECTOR
5516 S 84TH ST
GREENDALE WI 53129

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/28/2013
Organization Incorporation State WI
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 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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