FORM 1023-EZ for ARMED FORCES ANIMAL HAVEN

Field Data
EIN 81-5265637
Case Number EO-2017135-000022
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ARMED FORCES ANIMAL HAVEN
Organization’s Mailing Address 175 SOUTH MAIN STREET SUITE 1410
City SALT LAKE CTY
State UT
ZIP 84111
Accounting period End 12
Primary contact name ROBERT CARGEEG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBERT CARGEEG
DIRECTOR, PRESIDENT
29115 VALLEY CENTER ROAD K134
VALLEY CENTER CA 92082

Officer/Director/Trustee Two

DAVID REES
DIRECTOR
175 SOUTH MAIN STREET SUITE 1410
SALT LAKE CITY UT 84111

Officer/Director/Trustee Three

CASSIE SMITH
DIRECTOR
1220 NORTH MAIN STREET
BOUNTIFUL UT 84010

Organization’s website WWW.ARMEDFORCESANIMALHAVEN.ORG
Organization’s email INFO@ARMEDFORCESANIMALHAVEN.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/10/2017
Organization Incorporation State UT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D99 - Animal-Related N.E.C.
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 Yes
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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