FORM 1023-EZ for SIMONS ORGANIZATION FOR ANIMAL RIGHTS

Field Data
EIN 46-4261258
Case Number EO-2014276-000339
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SIMONS ORGANIZATION FOR ANIMAL RIGHTS
Organization’s Mailing Address 9659 SHADOW GREEN CV
City LAKELAND
State TN
ZIP 38002
Accounting period End 6
Primary contact name ANDRA STELBRINK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ANDRA STELBRINK
PRESIDENT
9659 SHADOW GREEN CV
LAKELAND TN 38002

Officer/Director/Trustee Two

LAURA WATSON
SECRETARY
9859 MOSSWOOD
LAKELAND TN 38002

Officer/Director/Trustee Three

ALLISON YOUNG YOUNG
TREASURER
6361 BARWICK
BARTLETT TN 38134

Organization’s website HTTP://WWW.SOARDOGGYRESCUE.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/1/2013
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D60 - Other Services - Specialty Animals
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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