FORM 1023-EZ for CHURCH OF PUG

Field Data
EIN 83-2849475
Case Number EO-2019304-000336
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CHURCH OF PUG
Organization’s Mailing Address 228 J ST S E
City AUBURN
State WA
ZIP 98002-5632
Accounting period End 12
Primary contact name SUSAN R HAYS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SUSAN HAYS
OFFICER
228 J ST S E
AUBURN WA 98002-5632

Officer/Director/Trustee Two

SHELLY RICHFIELD
OFFICER
7055 N E 145 ST
KENMORE WA 98028-4963

Organization’s website CHURCHOFPUG.COM
Organization’s email CHURCHOFPUG@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/6/19
Organization Incorporation State WA
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 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 SUSAN HAYS
Signature Title OFFICER
Signature Date 10/29/19

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