FORM 1023-EZ for PONTOTOC COUNTY ANIMAL RESCUE AND SHELTER INC

Field Data
EIN 46-2264223
Case Number EO-2014275-000540
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PONTOTOC COUNTY ANIMAL RESCUE AND SHELTER INC
Organization’s Mailing Address P O BOX 92
City PONTOTOC
State MS
ZIP 38863
Accounting period End 12
Primary contact name KATIE JACKSON SPENCER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KATIE SPENCER
PRESIDENT
1648 HWY 341
PONTOTOC MS 38863

Officer/Director/Trustee Two

CONNA MONTGOMERY
SECRETARY
45 MONTGOMERY ROAD
PONTOTOC MS 38863

Officer/Director/Trustee Three

J WAYNE DOSS
VICE PRESIDENT
363 NORTH BROADWAY STREET
TUPELO MS 38804

Officer/Director/Trustee Four

MELINDA SIMMONS
TREASURER
172 WEST OXFORD STREET
PONTOTOC MS 38863

Officer/Director/Trustee Five

ALISSA BARTON
COORDINATOR
83 SOUTH LIBERTY STREET
PONTOTOC MS 38863

Organization’s website WWW.PCARS.WEEBLY.COM
Organization’s email PCARSINFO@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/8/2012
Organization Incorporation State MS
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: Yes
Religious: No
Educational: Yes
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
Signature Title
Signature Date

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