FORM 1023-EZ for SQUIRRELLYAF INC

Field Data
EIN 85-3792806
Case Number EO-2020315-000040
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SQUIRRELLYAF INC
Organization’s Mailing Address 2727 24TH AVENUE NORTH
City SAINT PETERSBURG
State FL
ZIP 33713
Accounting period End 1
Primary contact name MARTHA SEVERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JILL HORSTMANN
CEO
2727 24TH AVENUE NORTH
SAINT PETERSBURG FL 33713

Officer/Director/Trustee Two

MARTHA SEVERSON
EXECUTIVE DIRECTOR
6605 5TH AVE NORTH
SAINT PETERSBURG FL 33710

Officer/Director/Trustee Three

MICHELLE KINGRY
VP
4511 4TH AVENUE SOUTH
SAINT PETERSBURG FL 33711

Organization’s website
Organization’s email SQUIRRELLYAF@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/6/2020
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D34 - Wildlife Sanctuary, Refuge
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 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 JILL HORSTMANN
Signature Title CEO
Signature Date 11/8/2020

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