FORM 1023-EZ for HUMANE SOCIETY OF EDMONSON COUNTY INC

Field Data
EIN 81-3428609
Case Number EO-2016217-000300
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HUMANE SOCIETY OF EDMONSON COUNTY INC
Organization’s Mailing Address 508 OSCAR RAYMER RD
City BROWNSVILLE
State KY
ZIP 42210-8335
Accounting period End 12
Primary contact name KATHRYN SMITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KATHRYN SMITH
DIRECTOR
508 OSCAR RAYMER RD
BROWNSVILLE KY 42210-8335

Officer/Director/Trustee Two

KENNETH SMITH
DIRECTOR
508 OSCAR RAYMER RD
BROWNSVILLE KY 42210-8335

Officer/Director/Trustee Three

JOAN EMBRY
DIRECTOR
PO BOX 851
BROWNSVILLE KY 42210

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/2/2016
Organization Incorporation State KY
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 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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