FORM 1023-EZ for ANOTHER CHANCE RESCUE REHAB & SANCTUARY INC

Field Data
EIN 83-1926250
Case Number EO-2018274-000179
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ANOTHER CHANCE RESCUE REHAB & SANCTUARY INC
Organization’s Mailing Address 469 RAMEY ROAD
City LAKEMONT
State GA
ZIP 30552
Accounting period End 6
Primary contact name DEVON C CUTSHAW
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEVON C CUTSHAW
CEO
469 RAMEY ROAD
LAKEMONT GA 30552

Officer/Director/Trustee Two

BRUCE JOHNSTON
TREASURER
629 NICHOLS BRANCH LANE
CLAYTON GA 30525

Officer/Director/Trustee Three

LINDA WEBER
SECRETARY
353 COMMUNITY LANE
LAKEMONT GA 30552

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/31/18
Organization Incorporation State GA
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 DEVON C CUTSHAW
Signature Title CEO
Signature Date 9/27/18

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