FORM 1023-EZ for FRIENDS OF MOHAVE COUNTY ANIMAL SHELTER

Field Data
EIN 84-3191839
Case Number EO-2019284-000142
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FRIENDS OF MOHAVE COUNTY ANIMAL SHELTER
Organization’s Mailing Address 3472 MONTE MORO
City KINGMAN
State AZ
ZIP 86401
Accounting period End 8
Primary contact name MICHAEL E BONNEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LYNN KANNIANEN
DIRECTOR
3472 MONTE MORO ST
KINGMAN AZ 86401

Officer/Director/Trustee Two

LORRAINE LEEMING
DIRECTO
1070 PALO VERDE DR
KINGMAN AZ 86409

Officer/Director/Trustee Three

DARLA WRIGHT
DIRECTO
2444 KINGMAN AVE
KINGMAN AZ 86401

Officer/Director/Trustee Four

DAN HERNON
DIRECTOR
4969 N RAIN BARREL DR
KINGMAN AZ 86401

Officer/Director/Trustee Five

KAREN BROWN
DIRECTOR
4233 GLENCLIFF AVE
KINGMAN AZ 86401

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/9/19
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D12 - Fund Raising and/or Fund Distribution
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 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 LYNN KANNIANEN
Signature Title DIRECTOR
Signature Date 10/7/19

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