FORM 1023-EZ for SOUTHAMPTON COUNTY HUMANE SOCIETY INC

Field Data
EIN 85-0711513
Case Number EO-2020118-000165
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SOUTHAMPTON COUNTY HUMANE SOCIETY INC
Organization’s Mailing Address 5309 DOON ST
City VIRGINIA BEACH
State VA
ZIP 23464
Accounting period End 12
Primary contact name LESLIE UTLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RYAN GIBBS
PRESIDENT, DIRECTOR
27133 DOGWOOD BEND ROAD
FRANKLIN VA 23851

Officer/Director/Trustee Two

LESLIE UTLEY
VICE-PRESIDENT, SECRETARY, DIRECTOR
5309 DOON STREET
VIRGINIA BEACH VA 23464

Officer/Director/Trustee Three

BECKY LOWE
TREASURER
PO BOX 1133
FRANKLIN VA 23851

Officer/Director/Trustee Four

ANDREA HUDSON
DIRECTOR
25482 BLACKHEAD SIGNPOST ROAD
COURTLAND VA 23837

Officer/Director/Trustee Five

MALYSSA REKOS
DIRECTOR
1769 OCEAN BAY DRIVE
VIRGINIA BEACH VA 23454

Organization’s website WWW.SOCOHUMANESOCIETY.ORG
Organization’s email INFO@SOCOHUMANESOCIETY.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/13/2020
Organization Incorporation State VA
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 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 RYAN GIBBS
Signature Title PRESIDENT, DIRECTOR
Signature Date 4/23/2020

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