FORM 1023-EZ for CARE FOR PETS

Field Data
EIN 81-1001664
Case Number EO-2017219-000467
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CARE FOR PETS
Organization’s Mailing Address 2599 NORTH MULFORD RD BOX 109
City ROCKFORD
State IL
ZIP 61114
Accounting period End 9
Primary contact name KELLY MESA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KELLY MESA
EXECUTIVE DIRECTOR
2074 CLEAR WATER DRIVE
BELVIDERE IL 61008

Officer/Director/Trustee Two

STEPHANIE HICKS
TREASURER
11455 WENTWORTH PLACE
BELVIDERE IL 61008

Officer/Director/Trustee Three

DAVE PETERSON
SECRETARY
PO BOX 17005
ROCKFORD IL 61110

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/29/2015
Organization Incorporation State IL
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: 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 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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