FORM 1023-EZ for COMPANION ANIMAL FOUNDATION CORP

Field Data
EIN 47-1586254
Case Number EO-2014340-000218
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name COMPANION ANIMAL FOUNDATION CORP
Organization’s Mailing Address 667 HARRIS ROAD
City FERNDALE
State NY
ZIP 12734
Accounting period End 12
Primary contact name JACK BODOLOSKY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JACK BODOLOSKY
CHAIRMAN
669 HARRIS ROAD
FERNDALE NY 12734

Officer/Director/Trustee Two

RUSSELL REEVES
PRESIDENT
45 CASTLE HILL ROAD
PARKSVILLE NY 12768

Officer/Director/Trustee Three

WILLIS OLIVIO
VICE PRESIDENT
5 LILLY POND ROAD
PARKSVILLE NY 12768

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/18/2014
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 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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