FORM 1023-EZ for CRITTERCARE INTERNATIONAL INC

Field Data
EIN 46-2269993
Case Number EO-2016243-000546
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CRITTERCARE INTERNATIONAL INC
Organization’s Mailing Address 12838 LEATRICE DR
City CLERMONT
State FL
ZIP 34715
Accounting period End 12
Primary contact name SUSAN SAVAGE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARTHA JONES
PRESIDENT
18742 SW LIBBY RD
GROVELAND FL 34736

Officer/Director/Trustee Two

KERRY FERGUSON
ASST. SECRETARY
10606 MASTERS DR
CLERMONT FL 34711

Officer/Director/Trustee Three

STANLEY DIMENT
VP
12838 LEATRICE DR
CLERMONT FL 34715

Organization’s website CRITTERCAREINTERNATIONAL.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/28/2013
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D02 - Management & Technical Assistance
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 Yes
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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