FORM 1023-EZ for ANIMAL SUPPORT FOR HENDRICKS COUNTY

Field Data
EIN 85-3135952
Case Number EO-2020273-000664
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ANIMAL SUPPORT FOR HENDRICKS COUNTY
Organization’s Mailing Address 1491 SOUTH COUNTY ROAD 250 WEST
City DANVILLE
State IN
ZIP 46122
Accounting period End 12
Primary contact name KAREN DAWN BUTRUM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KAREN BUTRUM
DIRECTOR
1491 SOUTH COUNTY ROAD 250 WEST
DANVILLE IN 46122

Officer/Director/Trustee Two

CRAIG HUGHES
OFFICER
9 NORTHVIEW DRIVE
DANVILLE IN 46122

Officer/Director/Trustee Three

SCOTT BUTRUM
TRUSTEE
1491 SOUTH COUNTY ROAD 250 WEST
DANVILLE IN 46122

Officer/Director/Trustee Four

ANITA PADGETT
TRUSTEE
1237 SOUTH 525 WEST
DANVILLE IN 46122

Officer/Director/Trustee Five

KAREN WRAY
OFFICER
13614 NORTH COUNTY ROAD 625 EAST
ROACHDALE IN 46172

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/1/2020
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D11 - Single Organization Support
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 KAREN BUTRUM
Signature Title DIRECTOR
Signature Date 9/24/2020

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