FORM 1023-EZ for APPALACHIAN TAILS RESCUE

Field Data
EIN 83-1412579
Case Number EO-2018214-000394
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name APPALACHIAN TAILS RESCUE
Organization’s Mailing Address 206 ALLEN AVE
City ELIZABETHTON
State TN
ZIP 37643
Accounting period End 12
Primary contact name BRITTNEY MADDEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBIN MCKAMEY
FOUNDER
206 ALLEN AVE
ELIZABETHTON TN 37643

Officer/Director/Trustee Two

BRITTNEY MADDEN
TREASURER
222 KEENBURG RD
ELIZABETHTON TN 37643

Officer/Director/Trustee Three

SAMANTHA PRICE
SECRETARY
608 W WATAUGA AVE UNIT 4
ELIZABETHTON TN 37601

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/31/18
Organization Incorporation State TN
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: 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 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 ROBIN MCKAMEY
Signature Title FOUNDER
Signature Date 7/31/18

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