FORM 1023-EZ for KNOXVILLE FARMED ANIMAL SAVE

Field Data
EIN 82-1588019
Case Number EO-2017172-000202
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KNOXVILLE FARMED ANIMAL SAVE
Organization’s Mailing Address 4927 MCINTYRE RD
City KNOXVILLE
State TN
ZIP 37914-3052
Accounting period End 2
Primary contact name SUSANA KONJICIJA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

REBEKAH HIGGINS
PRESIDENT
4927 MCINTYRE RD
KNOXVILLE TN 37914-3052

Officer/Director/Trustee Two

SUSANA KONJICIJA
SECRETARY
4927 MCINTYRE RD
KNOXVILLE TN 37914-3052

Officer/Director/Trustee Three

STEPHEN KUKURA
TREASURER
4927 MCINTYRE RD
KNOXVILLE TN 37914-3052

Officer/Director/Trustee Four

EMILY PRICE
SOCIAL MEDIA DIRECTOR
4927 MCINTYRE RD
KNOXVILLE TN 37914-3052

Officer/Director/Trustee Five

SHADDEN BROCK
ACTIVITIES DIRECTOR
4927 MCINTYRE RD
KNOXVILLE TN 37914-3052

Organization’s website
Organization’s email KNOXSAVE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/4/2017
Organization Incorporation State TN
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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