FORM 1023-EZ for QUEEN CITI KITTIES

Field Data
EIN 82-1955568
Case Number EO-2017177-000284
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name QUEEN CITI KITTIES
Organization’s Mailing Address 5421 HARDISON RD
City CHARLOTTE
State NC
ZIP 28226
Accounting period End 6
Primary contact name JULIE M CHAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JULIE CHAN
CHAIRMAN
5421 HARDISON RD
CHARLOTTE NC 28226

Officer/Director/Trustee Two

BARRY CHAN
VICE CHAIR
5421 HARDISON RD
CHARLOTTE NC 28226

Officer/Director/Trustee Three

BEVERLY SAMMARCO
TREASURER
6610 REAFIELD DR
CHARLOTTE NC 28226

Officer/Director/Trustee Four

MIKI FENN
SECRETARY
2791 IRISH ROAD
ESMONT VA 22937

Organization’s website WWW.QUEENCITIKITTIES.ORG
Organization’s email QUEENCITIKITTIES@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/1/2017
Organization Incorporation State NC
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 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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