FORM 1023-EZ for HUMANE SOCIETY OF JACKSON COUNTY

Field Data
EIN 47-2342063
Case Number EO-2014323-000376
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HUMANE SOCIETY OF JACKSON COUNTY
Organization’s Mailing Address PO BOX 34
City SANDYVILLE
State WV
ZIP 25275-0034
Accounting period End 12
Primary contact name LINDA MONKS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MARILOU MCCLUNG
PRESIDENT
3455 COPPER FORK ROAD
SANDYVILLE WV 25275-9802

Officer/Director/Trustee Two

ANNETTE RAUH
TREASURER
200 HENRIETTA STREET
RAVENSWOOD WV 26164-9802

Officer/Director/Trustee Three

LINDA MONKS
SECRETARY-SNAP COORDINATOR
9636 LIVERPOOL ROAD
SANDYVILLE WV 25275-9802

Officer/Director/Trustee Four

WILLIAM MONKS
BOARD MEMBER
9636 LIVERPOOL ROAD
SANDYVILLE WV 25275-9802

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/1/2014
Organization Incorporation State WV
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 Yes
Disaster relief assistance Yes
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
Signature Title
Signature Date

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