FORM 1023-EZ for FRIENDS OF FRANKLIN COUNTY INDIANAANIMAL SHELTER

Field Data
EIN 86-1699806
Case Number EO-2021155-000092
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FRIENDS OF FRANKLIN COUNTY INDIANAANIMAL SHELTER
Organization’s Mailing Address 5206 RIVER ROAD
City BROOKVILLE
State IN
ZIP 47012
Accounting period End 12
Primary contact name THERESE PARKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

THERESE PARKER
PRESIDENT
5206 RIVER ROAD
BROOKVILLE IN 47012

Officer/Director/Trustee Two

JAYME MILLER
OFFICER
4015 AMBER DRIVE
WEST HARRISON IN 47060

Officer/Director/Trustee Three

JEAN BENDER
OFFICER
3739 JAYLYNN DRIVE
WEST HARRISON IN 47060

Officer/Director/Trustee Four

RITA GRAHMANN
OFFICER
6110 N DEARBORN ROAD
GUILFORD IN 47022

Officer/Director/Trustee Five

JESSICA PARKER
OFFICE
5206 RIVER ROAD
BROOKVILLE IN 47012

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/2021
Organization Incorporation State IN
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 THERESE PARKER
Signature Title PRESIDENT
Signature Date 6/2/2021

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