FORM 1023-EZ for MONROE COUNTY HUMANE SOCIETY

Field Data
EIN 85-3859798
Case Number EO-2020339-000394
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MONROE COUNTY HUMANE SOCIETY
Organization’s Mailing Address 2668 MILL CREEK RD
City TOMPKINSVILLE
State KY
ZIP 42167
Accounting period End 12
Primary contact name MELANIE ANDERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MELANIE ANDERSON
MEMBER
2668 MILL CREEK RD
TOMPKINSVILLE KY 42167

Officer/Director/Trustee Two

KATHY MERRETT
MEMBER
105 N MAIN ST
TOMPKINSVILLE KY 42167

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/12/2020
Organization Incorporation State KY
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 MELANIE ANDERSON
Signature Title MEMBER
Signature Date 11/19/2020

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