FORM 1023-EZ for MADISON COMMUNITY CATS

Field Data
EIN 83-2073006
Case Number EO-2018317-000284
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MADISON COMMUNITY CATS
Organization’s Mailing Address 53 ROBINSON LANE
City SYRIA
State VA
ZIP 22743
Accounting period End 12
Primary contact name LAURIE COUNTS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GARY MISCH
SECRETARY
53 ROBINSON LANE
SYRIA VA 22743

Officer/Director/Trustee Two

LAURIE COUNTS
TREASURER
16353 LAKE FRONT COURT
CULPEPER VA 22701

Officer/Director/Trustee Three

ROSE LYN JACOB
DIRECTOR
53 ROBINSON LANE
SYRIA VA 22743

Officer/Director/Trustee Four

PATRICIA THOMPSON
DIRECTOR
13737
CULPEPER VA 22701

Organization’s website
Organization’s email MADISONCOMMUNITYCATS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/29/18
Organization Incorporation State VA
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 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 LAURIE COUNTS
Signature Title TREASURER
Signature Date 11/8/18

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