FORM 1023-EZ for PURRVANA CAT RESCUE RETREAT

Field Data
EIN 46-1051042
Case Number EO-2014259-000152
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PURRVANA CAT RESCUE RETREAT
Organization’s Mailing Address 5022 NAUTICA LAKE CIRCLE
City LAKE WORTH
State FL
ZIP 33463
Accounting period End 12
Primary contact name HEIDI WERBER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

HEIDI WERBER
PRESIDENT
5022 NAUTICA LAKE CIRCLE
LAKE WORTH FL 33463

Officer/Director/Trustee Two

ROBERT WERBER
VICE PRESIDENT
5022 NAUTICA LAKE CIR
LAKE WORTH FL 33463

Officer/Director/Trustee Three

JOAN DONOVAN
TREASURER
9134 MCMILLAN LANE
TAMPA FL 33635

Organization’s website WWW.PURRVANACAT.ORG
Organization’s email HEIDI@PURRVANACAT.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/23/2012
Organization Incorporation State FL
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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