FORM 1023-EZ for HENDERSON COUNTY SPAY NEUTER ALLIANCE

Field Data
EIN 83-3237381
Case Number EO-2019039-000454
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HENDERSON COUNTY SPAY NEUTER ALLIANCE
Organization’s Mailing Address PO BOX 43
City CEDAR GROVE
State TN
ZIP 38321
Accounting period End 2
Primary contact name PEGGY JOHNSON OR BARBARA LANE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PEGGY JOHNSON
DIRECTOR
44 HOLLY HILL
JACKSON TN 38301

Officer/Director/Trustee Two

BARBARA LANE
OFFICER
P O BOX 43
CEDAR GROVE TN 38321

Officer/Director/Trustee Three

JUDY EASON
OFFICER
45 ST ANDREWS DR
LEXINGTON TN 38351

Organization’s website
Organization’s email HENDERSONCOUNTYSPAYNEUTER@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/28/19
Organization Incorporation State TN
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 Yes
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 BARBARA LANE
Signature Title OFFICER
Signature Date 2/5/19

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