FORM 1023-EZ for FIX TROUSDAE

Field Data
EIN 82-0870843
Case Number EO-2017103-000460
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FIX TROUSDAE
Organization’s Mailing Address P O BOX 343
City HARTSVILLE
State TN
ZIP 37074
Accounting period End 12
Primary contact name LISA STEVA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LISA STEVA
PRESIDENT
830 MCCLANAHAN RD
HARTSVILLE TN 37074

Officer/Director/Trustee Two

PAM BELCHER
GRANT WRITER
240 WILLOW LN
HARTSVILLE TN 37074

Officer/Director/Trustee Three

REGINA EARPS
TREASURER
108 CARR ST
HARTSVILLE TN 37074

Officer/Director/Trustee Four

TAMMY STEIGER
SECRETARY
1895 PURYEARS BEND RD
HARTSVILLE TN 37074

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/3/2017
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D40 - Veterinary Services
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
Signature Title
Signature Date

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