FORM 1023-EZ for NEW HOPE ANIMAL SHELTER

Field Data
EIN 81-3429946
Case Number EO-2016231-000342
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NEW HOPE ANIMAL SHELTER
Organization’s Mailing Address 175 S AUSTIN AVENUE
City DECATUR
State IL
ZIP 62522-9495
Accounting period End 12
Primary contact name DAWN BLANKENSHIP
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAWN BLANKENSHIP
PRESIDENT
175 S AUSTIN AVENUE
DECATUR IL 62522-9495

Officer/Director/Trustee Two

DIANE OTTA
VICE PRESIDENT
193 WHITE PINES CIRCLE
DECATUR IL 62521-2924

Officer/Director/Trustee Three

ERIN DEWS
SECRETARY
1809 E MOORE STREET
DECATUR IL 62522-9495

Officer/Director/Trustee Four

AMBER JUSTICE
TREASURER
8 WEST OKAW ESTATES
LOVINGTON IL 61937-9443

Officer/Director/Trustee Five

JULIE BILBREY
COMMUNICATIONS
2812 W CENTER STREET
DECATUR IL 62526-9236

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/11/2016
Organization Incorporation State IL
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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