FORM 1023-EZ for KENTUCKY MUTTS ANIMAL RESCUE INC

Field Data
EIN 82-4234929
Case Number EO-2018033-000266
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KENTUCKY MUTTS ANIMAL RESCUE INC
Organization’s Mailing Address 91 RUTH RD
City CORBIN
State KY
ZIP 40701
Accounting period End 12
Primary contact name VIKKI CROOK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

VIKKI CROOK
PRESIDENT
91 RUTH RD
CORBIN KY 40701

Officer/Director/Trustee Two

HOLLY CHAMLEY
DIRECTOR
315 FORHAVEN DR
SOMERSET KY 42501

Officer/Director/Trustee Three

ANGELA SPEAR
SECRETARY TREASURY
162 STEEDLAND DR
LOUISVILLE KY 40229

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/24/17
Organization Incorporation State KY
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: 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 VIKKI CROOK
Signature Title PRESIDENT
Signature Date 1/31/18

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