FORM 1023-EZ for COMPANION CARE FUND CORPORATION

Field Data
EIN 84-2083541
Case Number EO-2020203-000223
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COMPANION CARE FUND CORPORATION
Organization’s Mailing Address 5001 OVERSEAS HWY
City MARATHON
State FL
ZIP 33043
Accounting period End 12
Primary contact name MELISSA MAY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MELISSA MAY
PRESIDENT
9 SOMBRERO BLVD
MARATHON FL 33050

Officer/Director/Trustee Two

DOUGLAS MADER
VICE PRESIDENT
1343 LONG BEACH DR
BIG PINE KEY FL 33043

Officer/Director/Trustee Three

GERALDINE DIETHELM-MADER
AGENT
1343 LONG BEACH DR
BIG PINE KEY FL 33043

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/26/2019
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D40 - Veterinary Services
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 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 GERALDINE DIETHELM-MADER
Signature Title AGENT
Signature Date 7/16/2020

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