FORM 1023-EZ for SPARKLE SHELTER INC

Field Data
EIN 87-1229189
Case Number EO-2021221-000321
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SPARKLE SHELTER INC
Organization’s Mailing Address 166 BERGEN ST
City PORT JEFFERSON STA
State NY
ZIP 11776
Accounting period End 12
Primary contact name JENNIFER CHAMPOUILLON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JENNIFER CHAMPOUILLON
PRESIDENT
166 BERGEN ST
PORT JEFFERSON STA NY 11776

Officer/Director/Trustee Two

MEGAN SLAWKAWSKI
DIRECTOR
1065 LOCUST AVE
BOHEMIA NY 11716

Officer/Director/Trustee Three

ALANA INGRAM
DIRECTOR
211 LOCUST AVE
ROCKY POINT NY 11778

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/16/2021
Organization Incorporation State NY
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 Yes
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 JENNIFER CHAMPOUILLON
Signature Title PRESIDENT
Signature Date 8/5/2021

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