FORM 1023-EZ for FREE STATE FOUR PAWS INC

Field Data
EIN 47-1672357
Case Number EO-2014352-000376
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FREE STATE FOUR PAWS INC
Organization’s Mailing Address P O BOX 333
City DOUBLE SPRINGS
State AL
ZIP 35553-3322
Accounting period End 12
Primary contact name KAREN PULLIAM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JOHNNA FRANKS
PRESIDENT/COO
PO BOX 333
DOUBLE SPRINGS AL 35553-3322

Officer/Director/Trustee Two

MELINDA BAILEY
VICE-PRESIDENT
42 COUNTY ROAD 3145
HOUSTON AL 35572

Officer/Director/Trustee Three

KATHY CAGLE
SECRETARY
PO BOX 1016
DOUBLE SPRINGS AL 35553-3322

Officer/Director/Trustee Four

KAREN PULLIAM
TREASURER/CFO
930 COUNTY ROAD 89
DOUBLE SPRINGS AL 35553-3322

Officer/Director/Trustee Five

TAMI BARNES
BOARD/VOTING MEMBER
372 HWY 82
PHIL CAMPBELL AL 35581

Organization’s website
Organization’s email FREESTATEFOURPAWS@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/25/2014
Organization Incorporation State AL
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: No
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 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
Signature Title
Signature Date

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