FORM 1023-EZ for WAYNE COUNTY ANIMAL RECUE

Field Data
EIN 84-5009766
Case Number EO-2020163-000129
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WAYNE COUNTY ANIMAL RECUE
Organization’s Mailing Address 7995 HWY 84 EAST
City WAYNESBORO
State MS
ZIP 39367
Accounting period End 3
Primary contact name KATHY GRAHAM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KATHY GRAHAM
TREASURER
7995 HWY 84 EAST
WAYNESBORO MS 39367

Officer/Director/Trustee Two

KRISTIE STOKLEY
PRESIDENT
46 OSCAR JORDAN DRIVE
BUCKATUNNA MS 39322

Officer/Director/Trustee Three

MICHELLE GRAY-DANIELS
SECRETARY
6561 HWY 145
WAYNESBORO MS 39367

Officer/Director/Trustee Four

LINDA CRAVEY
VICE PRESIDENT
1201 OAKLAND STREET
WAYNESBORO MS 39367

Officer/Director/Trustee Five

COLON RYAN MILLS
BOARD MEMBER
7995 HWY 84 EAST
WAYNESBORO MS 39367

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/5/2020
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: Yes
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 KATHY GRAHAM
Signature Title TREASURER
Signature Date 6/9/2020

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