FORM 1023-EZ for PAWS PET PANTRY

Field Data
EIN 47-1790760
Case Number EO-2014283-000055
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PAWS PET PANTRY
Organization’s Mailing Address 2835 EAST SOUTHERN HILLS BLVD
City SPRINGFIELD
State MO
ZIP 65804
Accounting period End 7
Primary contact name JULIE OVEREND DAWSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JULIE DAWSON
DIRECTOR
2835 EAST SOUTHERN HILLS BLVD
SPRINGFIELD MO 65804

Officer/Director/Trustee Two

CHARLENE SMITH
VICE-PRESIDENT
399 MELTON AVENUE
OZARK MO 65721

Officer/Director/Trustee Three

EDWINA EVANS
MEMBER-AT-LARGE
1510 NORTH SUMMIT
SPRINGFIELD MO 65803

Officer/Director/Trustee Four

JIM SWAIN
MEMBER-AT-LARGE
1442 FORT AVENUE
SPRINGFIELD MO 65807

Organization’s website
Organization’s email PAWSPETPANTRY@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/1/2014
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: Yes
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 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
Signature Title
Signature Date

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