FORM 1023-EZ for EMILYS ANIMAL WELFARE

Field Data
EIN 81-2407036
Case Number EO-2016123-000094
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name EMILYS ANIMAL WELFARE
Organization’s Mailing Address 1309 WARSON PLACE
City ST LOUIS
State MO
ZIP 63119
Accounting period End 12
Primary contact name CHRIS CLARK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CHRIS CLARK
PRESIDENT
1309 WARSON PLACE
ST LOUIS MO 63119

Officer/Director/Trustee Two

LISA HOLT
VICE PRESIDENT
2029 BLOSSOM BAY CT
ST PETERS MO 63376

Officer/Director/Trustee Three

ANNE FORKAN
SECRETARY
1310 WARSON PLACE
ST LOUIS MO 63119

Officer/Director/Trustee Four

TAYLOR LUETKEMEYER
TREASURER
1305 WARSON PLACE
ST LOUIS MO 63110

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/27/2016
Organization Incorporation State MO
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: 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 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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