FORM 1023-EZ for CROOKERS CRITTERS ANIMAL RESCUE INC

Field Data
EIN 47-5393327
Case Number EO-2015329-000376
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CROOKERS CRITTERS ANIMAL RESCUE INC
Organization’s Mailing Address 118 EAST MAIN STREET
City RUSSELLVILLE
State OH
ZIP 45168
Accounting period End 12
Primary contact name JENNIFER CROOKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JENNIFER CROOKER
PRESIDENT
118 EAST MAIN STREET
RUSSELLVILLE OH 45168

Officer/Director/Trustee Two

HOLLY CRUEY
VICE PRESIDENT SECRETARY
5636 BUCKTOWN ROAD
WILLIAMSBURG OH 45176

Officer/Director/Trustee Three

JAN STAUBACH
TREASURER
187 FREESOIL ROAD
GEORGETOWN OH 45121

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/19/2015
Organization Incorporation State OH
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: No
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 No
One Third Support Gifts Yes
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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