FORM 1023-EZ for PARTNERS OF PICKENS PETS INC

Field Data
EIN 47-1630908
Case Number EO-2014237-000065
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PARTNERS OF PICKENS PETS INC
Organization’s Mailing Address 1744 BETHANY RD
City JASPER
State GA
ZIP 30143
Accounting period End 12
Primary contact name JOHN KEITH MOODY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CARLTON WILSON
PRESIDENT
41 ARBOR HILL TRACE
JASPER GA 30143

Officer/Director/Trustee Two

MICHELE COOPER
SECRETARY
1419 UPPER SALEM CHURCH ROAD
JASPER GA 30143

Officer/Director/Trustee Three

JOHN MOODY
TREASURER
1744 BETHANY ROAD
JASPER GA 30143

Organization’s website
Organization’s email PARTNERSOFPICKENSPETS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/7/2014
Organization Incorporation State GA
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: 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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