FORM 1023-EZ for PROJECT ALPHA ANIMAL RESCUE

Field Data
EIN 84-2941225
Case Number EO-2019249-000285
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PROJECT ALPHA ANIMAL RESCUE
Organization’s Mailing Address 3811 DELINA ROAD
City CORNERSVILLE
State TN
ZIP 37047
Accounting period End 12
Primary contact name JONATHAN CARROLL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KRISTEN CARROLL
CEO
3811 DELINA RD
CORNERSVILLE TN 37047

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/4/19
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D00 -
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 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 KRISTEN CARROLL
Signature Title CEO
Signature Date 9/4/19

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