FORM 1023-EZ for PET PALS OF COLUMBIA MS

Field Data
EIN 83-2599171
Case Number EO-2019058-000395
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PET PALS OF COLUMBIA MS
Organization’s Mailing Address 121 PINE RIDGE RD
City COLUMBIA
State MS
ZIP 39478
Accounting period End 12
Primary contact name DEANNA MARTINO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEANNA MARTINO
PRESIDENT
1385 HWY 35 S
SANDY HOOK MS 39478

Officer/Director/Trustee Two

JENNY WATTS
VICE PRESIDENT
829 RIVER RD
COLUMBIA MS 39429

Officer/Director/Trustee Three

CARRIE MAGEE
TREASURER
1925 ORCHARD DR
COLUMBIA MS 39429

Officer/Director/Trustee Four

BRENDA KILPATRICK
SECRETARY
121 PINE RIDGE RD
COLUMBIA MS 39429

Organization’s website N/A
Organization’s email PETPALSOF COLUMBIAMS@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/26/18
Organization Incorporation State MS
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: 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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DEANNA MARTINO
Signature Title PRESIDENT
Signature Date 2/25/19

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