FORM 1023-EZ for HANDS N PAWS ANIMAL ASSISTANCE
| Field | Data |
|---|---|
| EIN | 84-3477538 |
| Case Number | EO-2020037-000167 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | HANDS N PAWS ANIMAL ASSISTANCE |
| Organization’s Mailing Address | 1209 LARSON BLVD |
| City | MOSES LAKE |
| State | WA |
| ZIP | 98837 |
| Accounting period End | 12 |
| Primary contact name | CARMON DERTING |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
CARMON DERTING
PRESIDENT
1209 LARSON BLVD
MOSES LAKE WA 98837
Officer/Director/Trustee Two
KATHERINE DIBIASE
DIRECTOR
1719 S ZILLAH ST
KENNEWICK WA 99337-2848
Officer/Director/Trustee Three
SUSAN CAMPBELL
SECRETARY
1216 MITCHELL AVE
MOSES LAKE WA 98837
Officer/Director/Trustee Four
PATRICIA JARDINE
TREASURER
9389 HARRIS ROAD NE
MOSES LAKE WA 98837
Officer/Director/Trustee Five
ELIZABETH ENOKIZONO
DIRECTOR
3834 ROAD L2 NE
MOSES LAKE WA 98837
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 10/24/2019 |
| Organization Incorporation State | WA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | D99 - Animal-Related N.E.C. |
| 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 | CARMON DERTING |
| Signature Title | PRESIDENT |
| Signature Date | 2/4/2020 |
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