FORM 1023-EZ for FORGOTTEN PAWS ANIMAL RESCUE

Field Data
EIN 81-4253673
Case Number EO-2018018-000338
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FORGOTTEN PAWS ANIMAL RESCUE
Organization’s Mailing Address 635 TAYLOR STREET
City CLAY
State KY
ZIP 42404
Accounting period End 12
Primary contact name HOLLEY EDWARDS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HOLLEY EDWARDS
PRESIDENT
635 TAYLOR STREET
CLAY KY 42404

Officer/Director/Trustee Two

WILLIAM LONG
DIRECTOR
635 TAYLOR STREET
CLAY KY 42404

Officer/Director/Trustee Three

MICHELLE BROWN
DIRECTOR
3677 STATE ROUTE 2837
CLAY KY 42404

Officer/Director/Trustee Four

HOLLEY EDWARDS
DIRECTOR
635 TAYLOR STREET
CLAY KY 42404

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/26/16
Organization Incorporation State KY
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: 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 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 HOLLEY EDWARDS
Signature Title DIRECTOR
Signature Date 1/16/18

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