FORM 1023-EZ for ADAMS COUNTY KENNEL CLUB

Field Data
EIN 32-0582180
Case Number EO-2018341-000267
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ADAMS COUNTY KENNEL CLUB
Organization’s Mailing Address 910 RIGDON ROAD
City WEST UNION
State OH
ZIP 45693-8977
Accounting period End 12
Primary contact name ALYSE LOVEJOY-PETTIT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHARLES LOVEJOY
PRESIDENT
7747 STATE ROUTE 41
MANCHESTER OH 45144

Officer/Director/Trustee Two

WILLIAM PETTIT
DIRECTOR
910 RIGDON ROAD
WEST UNION OH 45693-8977

Officer/Director/Trustee Three

DEBORAH CARTER
DIRECTOR
975 YATES ROAD
MANCHESTER OH 45144

Officer/Director/Trustee Four

ALYSE LOVEJOY-PETTIT
TREASURER
910 RIGDON ROAD
WEST UNION OH 45693-8977

Officer/Director/Trustee Five

JAMES FISHER
DIRECTOR
127 HIGH STREET
PEEBLES OH 45660-1206

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/13/17
Organization Incorporation State OH
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 ALYSE LOVEJOY-PETTIT
Signature Title TREASURER
Signature Date 12/5/18

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