FORM 1023-EZ for BALLARD ANIMAL SHELTER

Field Data
EIN 86-3713371
Case Number EO-2021130-000192
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BALLARD ANIMAL SHELTER
Organization’s Mailing Address 664 BROADWAY STREET
City BARLOW
State KY
ZIP 42024
Accounting period End 12
Primary contact name APRIL FORD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

APRIL FORD
INCORPORATOR
118 FREEMAN RD
WICKLIFFE KY 42087

Officer/Director/Trustee Two

LAUREN KENDALL
DIRECTOR
6572 TURNER LANDING ROAD
LACENTER KY 42056

Officer/Director/Trustee Three

LAUREN FORD
DIRECTOR
118 FREEMAN RD
WICKLIFFE KY 42087

Officer/Director/Trustee Four

EMILY FORD
DIRECTOR
118 FREEMAN RD
WICKLIFFE KY 42087

Organization’s website
Organization’s email APRILFORD474@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/6/2021
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: 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 APRIL FORD
Signature Title INCORPORATOR
Signature Date 5/6/2021

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