FORM 1023-EZ for TINY PAWS SANCTUARY FOR SPECIAL NEEDS ANIMALS

Field Data
EIN 81-5344526
Case Number EO-2017047-000085
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TINY PAWS SANCTUARY FOR SPECIAL NEEDS ANIMALS
Organization’s Mailing Address 109 PINE ST
City KINGSPORT
State TN
ZIP 37642
Accounting period End 2
Primary contact name JAMIE FRAYSIER-FARRIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMIE FRAYSIER-FARRIS
PRESIDENT
109 PINE ST
CHURCH HILL TN 37642

Officer/Director/Trustee Two

NORMA HASELEAH FRAYSIER-FARRIS
TREASURER
109 PINE ST
CHURCH HILL TN 37642

Officer/Director/Trustee Three

AMY KIMANI
VICE PRESIDENT
617 ASH ST
BRISTOL TN 37620

Officer/Director/Trustee Four

TERRY NEMENZ
SECRETARY
1305 POST ST
KINGSPORT TN 37664

Officer/Director/Trustee Five

ELLEN BARKER
BOARD MEMBER
2533 RIVERMONT CIRCLE
KINGSPORT TN 37660

Organization’s website
Organization’s email TINY.PAWS.SANCTUARY@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/7/2017
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: 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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