FORM 1023-EZ for SPRINGS VALLEY PET SERVICES INC

Field Data
EIN 47-4961485
Case Number EO-2015264-000447
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SPRINGS VALLEY PET SERVICES INC
Organization’s Mailing Address 7302 S MEADOWS LANE
City FRENCH LICK
State IN
ZIP 47432
Accounting period End 12
Primary contact name TERESA QUAY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TABATHA DURAN
PRESIDENT
10450 W CO RD 700S
FRENCH LICK IN 47432

Officer/Director/Trustee Two

LAURA GAZARIAN
TREASURER
7302 S MEADOWS LANE
FRENCH LICK IN 47432

Officer/Director/Trustee Three

REBECCA HILL
BOARD MEMBER
7083 W CR 25S
FRENCH LICK IN 47432

Organization’s website
Organization’s email SVPETSERVICES@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/2/2015
Organization Incorporation State IN
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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