FORM 1023-EZ for PIEDMONT POUND PAWS INC

Field Data
EIN 47-2843494
Case Number EO-2016161-000259
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PIEDMONT POUND PAWS INC
Organization’s Mailing Address RR2 BOX 26221 PINE CONE LANE
City PIEDMONT
State MO
ZIP 63957
Accounting period End 1
Primary contact name DEBORAH URBAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DARCI EDWARDS
DIRECTOR
ROUTE 1 BOX 11000
PATTERSON MO 63956

Officer/Director/Trustee Two

DEBORAH URBAN
DIRECTOR
RR2 BOX 26221 PINE CONE LANE
PIEDMONT MO 63957

Officer/Director/Trustee Three

LAURIE MARTIN
DIRECTOR
8231 HWY H
ELLINGTON MO 63638

Officer/Director/Trustee Four

TEATA QUIGLEY
DIRECTOR
207 COUNTY ROAD 571
PIEDMONT MO 63957

Officer/Director/Trustee Five

CASSIE WALLIS
DIRECTOR
1398 CO RD 161
DES ARC MO 63636

Organization’s website HTTP://PIEDMONTPOUNDPAWS.ANGELFIRE.COM
Organization’s email PIEDMONTPOUNDPAWS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/24/2014
Organization Incorporation State MO
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
Signature Title
Signature Date

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