FORM 1023-EZ for AMYS ANIMAL RESCUE OF STAR CITY INC

Field Data
EIN 35-2674832
Case Number EO-2020174-000290
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name AMYS ANIMAL RESCUE OF STAR CITY INC
Organization’s Mailing Address PO BOX 184
City STAR CITY
State AR
ZIP 71667
Accounting period End 12
Primary contact name ALEXANDRA HARPER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AMY DEAN
INCORPORATOR / DIRECTOR
1176 STATE HWY 114 WEST
STAR CITY AR 71667

Officer/Director/Trustee Two

ALEXANDRA HARPER
DIRECTOR
717 S LINCOLN AVENUE
STAR CITY AR 71667

Officer/Director/Trustee Three

JANIE HOUSE
DIRECTOR
402 EAST ROOSEVELT
STAR CITY AR 71667

Officer/Director/Trustee Four

MONICA CALHOUN
DIRECTOR
3300 KING ROAD
STAR CITY AR 71667

Officer/Director/Trustee Five

REID ROBERTSON
DIRECTOR
401 S LINCOLN
STAR CITY AR 71667

Organization’s website WWW.FACEBOOK.COM/AMYSANIMALRESCUEOFSTARCITY/
Organization’s email STARCITYANIMALSHELTER@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/1/2019
Organization Incorporation State AR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D99 - Animal-Related N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 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 ALEXANDRA HARPER
Signature Title DIRECTOR
Signature Date 6/19/2020

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