FORM 1023-EZ for FRIENDS OF LA PORTE COUNTY ANIMAL SHELTERS

Field Data
EIN 83-2674324
Case Number EO-2018337-000363
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FRIENDS OF LA PORTE COUNTY ANIMAL SHELTERS
Organization’s Mailing Address 517 STATE STREET
City LA PORTE
State IN
ZIP 46350-3324
Accounting period End 12
Primary contact name JAMI HEYING
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMI HEYING
PRESIDENT
5404 6TH AVE
VALPARAISO IN 46383-1163

Officer/Director/Trustee Two

ANDREA RENNER-MILLER
VICE PRESIDENT
609 VINE ST
LA PORTE IN 46350-2966

Officer/Director/Trustee Three

JAN SHAW
TREASURER
15936 S 900 W
WANATAH IN 46390-9618

Officer/Director/Trustee Four

SARA KESSLER
SECRETARY
1422 W SEVERS RD
LA PORTE IN 46350-7854

Officer/Director/Trustee Five

JESSICA ARNOLD
PUBLIC RELATIONS/OUTREACH
2729 N WOZNIAK RD
MICHIGAN CITY IN 46360-9211

Organization’s website
Organization’s email FRIENDSLPCSHELTERS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/28/18
Organization Incorporation State IN
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: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
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 JAMI HEYING
Signature Title PRESIDENT
Signature Date 11/30/18

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