FORM 1023-EZ for PET OXYGEN KIT PROJECT INC

Field Data
EIN 47-2452274
Case Number EO-2014353-000250
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PET OXYGEN KIT PROJECT INC
Organization’s Mailing Address 4008 VERNER STREET
City COLUMBIA
State SC
ZIP 29204
Accounting period End 12
Primary contact name KEM R SMITH CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MARY ELLEN TOBIAS
PRESIDENT
233 GUNTER CIRCLE
BLYTHEWOOD SC 29016

Officer/Director/Trustee Two

LORRE T NORTON
SEC TREAS
206 HOWELL ROAD
BLYTHEWOOD SC 29016

Officer/Director/Trustee Three

NENA SINCLAIR
V PRES
4008 VERNER STREET
COLUMBIA SC 29204

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/31/2014
Organization Incorporation State SC
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: 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
Signature Title
Signature Date

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