FORM 1023-EZ for BACK STREET KITTENS INC

Field Data
EIN 83-3696601
Case Number EO-2019066-000267
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BACK STREET KITTENS INC
Organization’s Mailing Address 4319 OLD NORCROSS RD
City DULUTH
State GA
ZIP 30096
Accounting period End 12
Primary contact name TERESA K MARTINEZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TERESA MARTINEZ
PRESIDENT/TREASURER
4319 OLD NORCROSS ROAD
DULUTH GA 30096

Officer/Director/Trustee Two

CATHERINE COLLINGWOOD
VICE PRESIDENT
404 GLENLEAF DR
PTC GA 30092

Officer/Director/Trustee Three

HARPER EVANS-MURRAY
SECRETARY
4005 LEEAMBUR CT
LILBURN GA 30047

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/22/19
Organization Incorporation State GA
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 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 TERESA MARTINEZ
Signature Title PRESIDENT/TREASURER
Signature Date 3/5/19

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