FORM 1023-EZ for MRS KENYONS CLOWDER HOUSE

Field Data
EIN 85-1911310
Case Number EO-2020224-000829
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MRS KENYONS CLOWDER HOUSE
Organization’s Mailing Address 17303 9TH ST SE
City GRANDIN
State ND
ZIP 58038
Accounting period End 12
Primary contact name MARY JO KENYON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARY JO KENYON
DIRECTOR
17303 9TH ST SE
GRANDIN ND 58038

Organization’s website NA
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/31/2020
Organization Incorporation State ND
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 MARY JO KENYON
Signature Title DIRECTOR
Signature Date 8/9/2020

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