FORM 1023-EZ for SOUTHSIDE ANIMAL VOLUNTEERS

Field Data
EIN 81-2619370
Case Number EO-2016138-000247
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SOUTHSIDE ANIMAL VOLUNTEERS
Organization’s Mailing Address 5405 POOR HOUSE RD
City DOLPHIN
State VA
ZIP 23843
Accounting period End 12
Primary contact name CHERYL ABERNATHY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CHERYL ABERNATHY
DIRECTOR
5405 POOR HOUSE RD
DOLPHIN VA 23843

Officer/Director/Trustee Two

BETTY RAMSEY
DIRECTOR
23039 DREWRY RD
DREWRYVILLE VA 23844

Organization’s website N/A
Organization’s email SOUTHSIDEANIMALVOLUNTEERS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/16/2016
Organization Incorporation State VA
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: 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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