FORM 1023-EZ for DEKALB COALITION FOR HUMANE TREATMENT OF ANIMALS INC

Field Data
EIN 46-0821775
Case Number EO-2016139-000366
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DEKALB COALITION FOR HUMANE TREATMENT OF ANIMALS INC
Organization’s Mailing Address PO BOX 354
City SMITHVILLE
State TN
ZIP 37166
Accounting period End 6
Primary contact name JAMES A WOOD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MARSHA DARRAH
PRESIDENT
409 W MAIN ST
SMITHVILLE TN 37166

Officer/Director/Trustee Two

JASON MURPHY
VICE PRESIDENT
608 S COLLEGE ST
SMITHVILLE TN 37166

Officer/Director/Trustee Three

SUE PUCKETT
SECRETARY
425 NIXON WAY
SMITHVILLE TN 37166

Officer/Director/Trustee Four

JAMES WOOD
TREASURER
748 PINE GROVE RD
SMITHVILLE TN 37166

Officer/Director/Trustee Five

RENEE FERGUSON
BOARD MEMBER
129 BRASWELL LANE
SMITHVILLE TN 37166

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/8/2012
Organization Incorporation State TN
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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