FORM 1023-EZ for PET STAR INCD

Field Data
EIN 85-4039112
Case Number EO-2021054-000230
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PET STAR INCD
Organization’s Mailing Address 9029 JEFFERSON HWY STE D209
City RIVER RIDGE
State LA
ZIP 70123
Accounting period End 1
Primary contact name DANIELLE D DECKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DANIELLE D DECKER
PRESIDENT TRUSTEE
301 MADELYN LN
RIVER RIDGE LA 70123

Officer/Director/Trustee Two

TYLE OLISTER
DIRECTOR
27027 POLO RD
FOLSOM LA 70437

Officer/Director/Trustee Three

THERESA DUFOUR
DIRECTOR
3744 ARROWHEAD DR
SLIDELL LA 70458

Officer/Director/Trustee Four

CINDY WATERMEIER
DIRECTOR
1712 HARVARD AVE
METAIRIE LA 70001

Officer/Director/Trustee Five

JANICE NAQUIN
DIRECTOR
669 LABARRE ST
MANDEVILLE LA 70448

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/4/2020
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 No
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 DANIELLE D DECKER
Signature Title PRESIDENT TRUSTEE
Signature Date 12/22/2020

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