FORM 1023-EZ for ORANGE BEACH ANIMAL CARE AND CONTROL PROGRAM

Field Data
EIN 82-2078433
Case Number EO-2017195-000209
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ORANGE BEACH ANIMAL CARE AND CONTROL PROGRAM
Organization’s Mailing Address 5305 MISSISSIPPI AVE
City ORANGE BEACH
State AL
ZIP 36561
Accounting period End 12
Primary contact name THOMAS L CONERLY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

THOMAS CONERLY
PRESIDENT
5305 MISSISSIPPI AVE
ORANGE BEACH AL 36561

Officer/Director/Trustee Two

JOEY BROWN
VICE PRESIDENT
7853 AUDUBON DR
FOLEY AL 36535

Officer/Director/Trustee Three

HAROLD CALLAWAY
SECRETARY
15 CLAUDETTE CIRCLE
ORANGE BEACH AL 36561

Officer/Director/Trustee Four

CONNIE BROWN
TREASURER
PO BOX 1846
GULF SHORES AL 36547

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/29/2017
Organization Incorporation State AL
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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