FORM 1023-EZ for KEOKUK ANIMAL SERVICES PARTNERS INRESCUE INC

Field Data
EIN 83-1214112
Case Number EO-2018199-000080
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KEOKUK ANIMAL SERVICES PARTNERS INRESCUE INC
Organization’s Mailing Address 3436 265TH AVE
City KEOKUK
State IA
ZIP 52632
Accounting period End 12
Primary contact name TOM CREW
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AMY BENSON
SECRETARY-TREASURER-DIRECTOR
1900 340TH STREET
ARGYLE IA 52619

Officer/Director/Trustee Two

AUDREY JEFFERS
VICE PRESIDENT-DIRECTOR
1934 HILTON ROAD
KEOKUK IA 52632

Officer/Director/Trustee Three

ALLISON MULLIN
DIRECTOR
1202 GRAND AVENUE
KEOKUK IA 52632

Officer/Director/Trustee Four

CINDY CREW
PRESIDENT-DIRECTOR
3436 265TH AVENUE
KEOKUK IA 52632

Officer/Director/Trustee Five

ELLEN NORMAN
DIRECTOR
1407 STRIPE STREET
KEOKUK IA 52632

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/17/18
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 AMY BENSON
Signature Title SECRETARY-TREASURER-DIRECTOR
Signature Date 7/16/18
EIN 83-1214112
Case Number EO-2018199-000080
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KEOKUK ANIMAL SERVICES PARTNERS IN RESCUE INC
Organization’s Mailing Address 3436 265TH AVE
City KEOKUK
State IA
ZIP 52632
Accounting period End 12
Primary contact name TOM CREW
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AMY BENSON
SECRETARY-TREASURER-DIRECTOR
1900 340TH STREET
ARGYLE IA 52619

Officer/Director/Trustee Two

AUDREY JEFFERS
VICE PRESIDENT-DIRECTOR
1934 HILTON ROAD
KEOKUK IA 52632

Officer/Director/Trustee Three

ALLISON MULLIN
DIRECTOR
1202 GRAND AVENUE
KEOKUK IA 52632

Officer/Director/Trustee Four

CINDY CREW
PRESIDENT-DIRECTOR
3436 265TH AVENUE
KEOKUK IA 52632

Officer/Director/Trustee Five

ELLEN NORMAN
DIRECTOR
1407 STRIPE STREET
KEOKUK IA 52632

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/17/18
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 AMY BENSON
Signature Title SECRETARY-TREASURER-DIRECTOR
Signature Date 7/16/18

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