FORM 1023-EZ for ARIZONA PET PANTRY ORG

Field Data
EIN 47-3868876
Case Number EO-2018248-000029
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ARIZONA PET PANTRY ORG
Organization’s Mailing Address 3535 N STEWART
City TUCSON
State AZ
ZIP 85716
Accounting period End 12
Primary contact name CATHERINE HARRIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHERRY BOUVET
PRESIDENT
4060 N SWAN RD
TUCSON AZ 85718

Officer/Director/Trustee Two

NICOLE KIME
VICE PRESIDENT
6832 CAMUS PL
SPRINGFIELD VA 22152

Officer/Director/Trustee Three

PATTI SWANSON
SECRETARY
6565 N CANYON CREST 27102
TUCSON AZ 85705

Officer/Director/Trustee Four

CATHERINE HARRIS
TREASURER
3400 E BERMUDA
TUCSON AZ 85716

Officer/Director/Trustee Five

BARBARA BEAL
NUTRITIONAL DIRECTOR
2525 E BLACKLIDGE
TUCSON AZ 85716

Organization’s website WWW.ARIZONAPETPANTRY.ORG
Organization’s email ARIZONAPETPANTRY@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/1/15
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D99 - Animal-Related N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
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 Yes
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 SHERRY BOUVET
Signature Title PRESIDENT
Signature Date 8/31/18
EIN 47-3868876
Case Number EO-2015121-000295
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ARIZONA PET PANTRY INC
Organization’s Mailing Address 3938 E GRANT ROAD
City TUCSON
State AZ
ZIP 85712
Accounting period End 11
Primary contact name CATHERINE HARRIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SHERRY BOUVET
PRESIDENT
4060 N SWAN ROAD
TUCSON VA 85718

Officer/Director/Trustee Two

NICOLE KIME
VICE PRESIDENT
6832 CAMUS PLACE
SPRINGFIELD VA 22152

Officer/Director/Trustee Three

PATTI SWANSON
SECRETARY
6655 N CANYON CREST
TUCSON AZ 85705

Officer/Director/Trustee Four

CATHERINE HARRIS
TREASURER
3400 E BERMUDA
TUCSON AZ 85716

Officer/Director/Trustee Five

BARBARA BEAL
NUTRITIONAL DIRECTOR
2525 E BLACKLIDGE
TUCSON AZ 85716

Organization’s website ARIZONAPETPANTRY.ORG
Organization’s email ARIZONAPETPANTRY@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/17/2015
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D19 - Nonmonetary Support N.E.C.
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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