FORM 1023-EZ for FRIENDS OF THE MCINTOSH ANIMAL SHELTER INC

Field Data
EIN 83-4002440
Case Number EO-2019079-000564
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FRIENDS OF THE MCINTOSH ANIMAL SHELTER INC
Organization’s Mailing Address 108 2ND STREET
City DARIEN
State GA
ZIP 31305
Accounting period End 12
Primary contact name ADAM S POPPELL III
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARIANNA HAGAN
CEO
1184 ANIMAL SHELTER DR SW
DARIEN GA 31305

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/23/18
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
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 MARIANNA HAGAN
Signature Title CEO
Signature Date 3/18/19

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