FORM 1023-EZ for PERRY HUMANE SOCIETY INC

Field Data
EIN 47-4820111
Case Number EO-2015302-000327
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PERRY HUMANE SOCIETY INC
Organization’s Mailing Address 704 QUAIL CREEK
City PERRY
State OK
ZIP 73077
Accounting period End 12
Primary contact name BRENDA VOLLMER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

PAM KEITH
TREASURER
24251 COUNTY ROAD 170
PERRY OK 73077

Officer/Director/Trustee Two

APRIL SEWELL
SECRETARY
12500 NEW MOON
PERRY OK 73077

Officer/Director/Trustee Three

MELISSA FEKEN
VICE-PRESIDENT
13290 HARVEST
PERRY OK 73077

Officer/Director/Trustee Four

BRENDA VOLLMER
PRESIDENT
704 QUAIL CREEK
PERRY OK 73077

Officer/Director/Trustee Five

MARLETTA ZAVALAS
TRUSTEE
1135 LOCUST
PERRY OK 73077

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/8/2015
Organization Incorporation State OK
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 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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