FORM 1023-EZ for PET PANTRY OF LORAIN COUNTY INC

Field Data
EIN 83-2962193
Case Number EO-2019105-000479
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PET PANTRY OF LORAIN COUNTY INC
Organization’s Mailing Address 3497 EAST RIVER ROAD
City SHEFFIELD
State OH
ZIP 44054
Accounting period End 12
Primary contact name SHEILA MONTGOMERY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHEILA MONTGOMERY
PRESIDENT
324 N LAKE STREET
AMHERST OH 44001

Officer/Director/Trustee Two

DANIELLE STANZIANO
VICE PRESIDENT
43042 BUTTERNUT RIDGE ROAD
OBERLIN OH 44074

Officer/Director/Trustee Three

ROBERT SELL
TREASURER
3511 EAST RIVER ROAD
SHEFFIELD OH 44054

Officer/Director/Trustee Four

ROSEMARIE HARRIS
SECRETARY
605 HARVARD AVENUE
ELYRIA OH 44035

Organization’s website
Organization’s email THEPETPANTRYOFLORAINCOUNTY@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/17/18
Organization Incorporation State OH
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: Yes
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 DANIELLE STANZIANO
Signature Title VICE PRESIDENT
Signature Date 4/12/19

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