FORM 1023-EZ for ANIMAL WELLNESS INSTITUTE

Field Data
EIN 85-2156149
Case Number EO-2020260-000313
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ANIMAL WELLNESS INSTITUTE
Organization’s Mailing Address 16700 LAUREL ROAD
City LOS GATOS
State CA
ZIP 95033-9016
Accounting period End 12
Primary contact name ANGELINE SIEGEL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANGELINE SIEGEL
PRESIDENT
16700 LAUREL ROAD
LOS GATOS CA 95033-9016

Officer/Director/Trustee Two

SHARON CAREY-STRONCK
SECRETARY
6901 MARSHALL ROAD
LOTUS CA 95651

Officer/Director/Trustee Three

ANNE JOHNSON
TREASURER
1809 CASTLE PINE COURT
LAWRENCE KS 66047-2017

Organization’s website WWW.ANIMAL-WELLNESS.ORG
Organization’s email ANGELINE@ANIMAL-WELLNESS.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/1/2020
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D05 - Research Institutes and/or Public Policy Analysis
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: Yes
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 Yes
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 ANGELINE SIEGEL
Signature Title PRESIDENT
Signature Date 9/14/2020

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