FORM 1023-EZ for ANIMAL SHELTER PARTNERS

Field Data
EIN 82-0814653
Case Number EO-2017090-000297
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ANIMAL SHELTER PARTNERS
Organization’s Mailing Address 93608 SUNNYVALE LN
City COOS BAY
State OR
ZIP 97420-6247
Accounting period End 12
Primary contact name LORI A HANNAH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LORI HANNAH
PRESIDENT
93608 SUNNYVALE LN
COOS BAY OR 97420-6247

Officer/Director/Trustee Two

BARBARA LESCO
SECRETARY
61440 LOWER MATTSON RD
COOS BAY OR 97420-5304

Officer/Director/Trustee Three

JACQUELYN DARNELL
TREASURER
426 ACKERMAN AVE
COOBAY OR 97420-3005

Officer/Director/Trustee Four

TRACY MICHELS
BOARD MEMBER
1883 ASH STREET
NORTH BEND OR 97459-2031

Organization’s website N/A
Organization’s email AMINALSHELTERPARTNERS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/14/2017
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D12 - Fund Raising and/or Fund Distribution
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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