FORM 1023-EZ for HOMELESS TAILS INC

Field Data
EIN 22-3776707
Case Number EO-2015245-000211
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HOMELESS TAILS INC
Organization’s Mailing Address PO BOX 1422
City WAYNE
State NJ
ZIP 07474-1422
Accounting period End 12
Primary contact name PETER HJELM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

PETER HJELM
PRESIDENT/DIR
86 LAKE DRIVE WEST
WAYNE NJ 07470-5733

Officer/Director/Trustee Two

PHYLISS SIMPSON
VICE PRESIDENT/DIR
31 DUNCAN LANE
WAYNE NJ 07470-2050

Officer/Director/Trustee Three

LAUREN HJELM
SECY/TREASURER/DIR
86 LAKE DRIVE WEST
WAYNE NJ 07470-2050

Organization’s website HOMELESSTAILS.PETFINDER.COM
Organization’s email HOMELESSTAILS@AMERAGENTS.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/28/2000
Organization Incorporation State NJ
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: No
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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