FORM 1023-EZ for HAPPY PAWS KITTEN RESCUE

Field Data
EIN 47-3636271
Case Number EO-2015098-000356
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HAPPY PAWS KITTEN RESCUE
Organization’s Mailing Address 3006 FORESTDALE AVENUE
City KNOXVILLE
State TN
ZIP 37917
Accounting period End 12
Primary contact name JILL COFFEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JILL COFFEY
FOUNDER/PRESIDENT/BOARD MEMEBR
3006 FORESTDALE AVENUE
KNOXVILLE TN 37917

Officer/Director/Trustee Two

SHAWN KELLEY
CO FOUNDER/PRESIDENT BOARD MEMBER
3006 FORESTDALE AVENUE
KNOXVILLE TN 37917

Officer/Director/Trustee Three

SHELLY YOKLEY
FOSTER SUPERVISOR/ BOARD MEMBER
1653 MILL SPRINGS ROAD
NEW MARKET TN 37820

Officer/Director/Trustee Four

JANET RINOLTZ
ADOPTION SPECIALIST/ BOARD MEMEBER
5911 VILLA ROAD
KNOXVILLE TN 37918

Officer/Director/Trustee Five

KAREN URBAN
FINANCIAL ADVISOR/BOARD MEMEBER
126 HILL TOP DRIVE
KINGSTON TN 37763

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/3/2015
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: No
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 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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