FORM 1023-EZ for BUTTS COUNTY HUMANE SOCIETY INC

Field Data
EIN 58-2084189
Case Number EO-2015321-000075
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BUTTS COUNTY HUMANE SOCIETY INC
Organization’s Mailing Address 671 HALLS BRIDGE RD
City JACKSON
State GA
ZIP 30233
Accounting period End 12
Primary contact name RAE JOHNSTON CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LINDA GODIN
PRESIDENT
218 ARROW POINT RD
JACKSON GA 30233

Officer/Director/Trustee Two

JANICE JONES
SECRETARY/TREASURER
671 HALLS BRIDGE RD
JACKSON GA 30233

Officer/Director/Trustee Three

ELLIE MARSHALL
BOARD MEMBER
128 QUAIL TRAIL RD
JACKSON GA 30233

Officer/Director/Trustee Four

MARGARET CAWTHON
BOARD MEMBER
252 OLD HARDY FARM RD
JACKSON GA 30233

Officer/Director/Trustee Five

WENDY JOHNSON
BOARD MEMBER
102 WILSON ROAD
JACKSON GA 30233

Organization’s website NA
Organization’s email BUTTS.MUTTS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/20/2014
Organization Incorporation State GA
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: Yes
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 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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