FORM 1023-EZ for HELP STOP PET DENTAL PAIN

Field Data
EIN 81-5030102
Case Number EO-2018163-000119
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HELP STOP PET DENTAL PAIN
Organization’s Mailing Address 127 SADDLE RD E3 PO BOX 6264
City KETCHUM
State ID
ZIP 83340
Accounting period End 12
Primary contact name BARRY RATHFON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BARRY RATHFON
CHAIRMAN
127 SADDLE RD E 3 PO BOX 6264
KETCHUM ID 83340-6264

Officer/Director/Trustee Two

JANA LEVIN
VICE CHAIRMAN
71-1699 PUU NAPOO DR BOX 56
KAILUA HI 96740-8311

Officer/Director/Trustee Three

TERRY CHESTER
WEBSITE DIRECTOR
127 SADDLE RD F3
KETCHUM ID 83340

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/19/17
Organization Incorporation State ID
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: Yes
Scientific: Yes
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name BARRY RATHFON
Signature Title CHAIRMAN
Signature Date 6/8/18

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