FORM 1023-EZ for LOGAN COUNTY ANIMAL HAVEN

Field Data
EIN 81-4641316
Case Number EO-2017116-000208
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LOGAN COUNTY ANIMAL HAVEN
Organization’s Mailing Address 23350 HOOVER BAULT RD
City RAYMOND
State OH
ZIP 43067
Accounting period End 12
Primary contact name J JEFFREY HOLLAND
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ERICA COOPER
PRESIDENT
509 S DETROIT ST APT 8
BELLEFONTAINE OH 43311

Officer/Director/Trustee Two

CINDY HIMLER
SECRETARY/TREASURER
23350 HOOVER BAULT RD
RAYMOND OH 43067

Officer/Director/Trustee Three

DANA FULLERTON
VICE PRESIDENT
4662 ST RT 274 W
HUNTSVILLE OH 43324

Officer/Director/Trustee Four

CHARLA BLAIR
DIRECTOR
208 BUCKEYE ST E
BELLE CENTER OH 43310

Officer/Director/Trustee Five

MINDY HIMLER
DIRECTOR
3234 SUMMERDALE LANE
COLUMBUS OH 43221

Organization’s website OGANCOUNTYANIMALH.WIXSITE.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/6/2016
Organization Incorporation State OH
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 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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