FORM 1023-EZ for MUDDY PUG FARM & ANIMAL SANCTUARY

Field Data
EIN 85-1851240
Case Number EO-2020195-000689
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MUDDY PUG FARM & ANIMAL SANCTUARY
Organization’s Mailing Address 20821 266TH PLACE SE
City MAPLE VALLEY
State WA
ZIP 98038
Accounting period End 12
Primary contact name JENNIFER L CONWAY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JENNIFER CONWAY
EXECUTIVE DIRECTOR
906 W 2ND AVE SUITE 100
SPOKANE WA 99201-4540

Officer/Director/Trustee Two

SHELLIE EADIE
DIRECTOR
906 W 2ND AVE SUITE 100
SPOKANE WA 99201-4540

Officer/Director/Trustee Three

DANIELLE HUSTON
DIRECTOR
906 W 2ND AVE SUITE 100
SPOKANE WA 99201-4540

Organization’s website
Organization’s email MUDDYPUGFARM@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/1/2020
Organization Incorporation State WA
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 JENNIFER CONWAY
Signature Title EXECUTIVE DIRECTOR
Signature Date 7/9/2020

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