FORM 1023-EZ for LETS TAKE A PAWS

Field Data
EIN 86-1799158
Case Number EO-2021085-000548
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LETS TAKE A PAWS
Organization’s Mailing Address 101 INVERNESS ROAD
City STARKVILLE
State MS
ZIP 39759
Accounting period End 12
Primary contact name DERRICK HILL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DERRICK HILL
CONSULTANT
819 SOUTHLAND FOREST WAY
STONE MOUNTAIN GA 30087

Officer/Director/Trustee Two

LOLA THOMAS
BOARD MEMBER
195 BUBBA TAYLOR ROAD
BYHALIA MS 38611

Officer/Director/Trustee Three

TIFFANY THOMAS
BOARD MEMBER
2101 SILVERBERRY DRIVE APT 208
CHESAPEAKE VA 23321

Officer/Director/Trustee Four

JADEN CRUMEDY
BOARD MEMBER
5402 W 4TH STREET
HATTIESBURG MS 49402

Officer/Director/Trustee Five

LADONNA THOMAS
BOARD MEMBER
784 GRANT DRIVE
SOUTHAVEN MS 38671

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/29/2021
Organization Incorporation State MS
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 DERRICK HILL
Signature Title CONSULTANT
Signature Date 2/4/2021

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