FORM 1023-EZ for PAWS OF PIEDMONT ANIMAL RESCUE

Field Data
EIN 82-2701849
Case Number EO-2017254-000387
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PAWS OF PIEDMONT ANIMAL RESCUE
Organization’s Mailing Address PO BOX 567
City LOCUST
State NC
ZIP 28097
Accounting period End 12
Primary contact name AMY SHAMANSKY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KAREN LINKER
DIRECTOR
15904 BIG BEAR ROAD
ALBEMARLE NC 28001

Officer/Director/Trustee Two

AMY SHAMANSKY
DIRECTOR
10900 SAM BLACK ROAD
MIDLAND NC 28107

Officer/Director/Trustee Three

TRENT MCCOY
DIRECTOR
4420 HIGHWAY 24-27 E
MIDLAND NC 28107

Organization’s website
Organization’s email PAWSOFPIEDMONT@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/7/2017
Organization Incorporation State NC
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: 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 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
Signature Title
Signature Date

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