FORM 1023-EZ for COUNTRY CAT LADY

Field Data
EIN 83-0729690
Case Number EO-2018169-000803
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COUNTRY CAT LADY
Organization’s Mailing Address 3107 7TH ST
City WAYLAND
State MI
ZIP 49348
Accounting period End 12
Primary contact name JENNIFER KUYT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JENNIFER KUYT
PRESIDENT
3107 7TH ST
WAYLAND MI 49348

Officer/Director/Trustee Two

JESSICA RIEMERSMA
SECRETARY
2714 SYDNEY ST SW
WYOMING MI 49519

Officer/Director/Trustee Three

VICKI STEENSMA
TREASURER
3501 ROSEWOOD ST
HUDSONVILLE MI 49426

Organization’s website
Organization’s email OFFICE@COUNTRYCATLADY.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/3/18
Organization Incorporation State MI
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 Yes
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 JENNIFER KUYT
Signature Title PRESIDENT
Signature Date 6/15/18

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