FORM 1023-EZ for COSHOCTON COUNTY HUMANE SOCIETY
| Field | Data |
|---|---|
| EIN | 81-5292207 |
| Case Number | EO-2017067-000712 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | COSHOCTON COUNTY HUMANE SOCIETY |
| Organization’s Mailing Address | PO BOX 11 |
| City | COSHOCTON |
| State | OH |
| ZIP | 43812 |
| 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
JOHN PIPER
CHAIR
442 SOUTH 9TH ST
COSHOCTON OH 43812
Officer/Director/Trustee Two
MIKE HOLMES
VICE CHAIR
890 GREEN DR
COSHOCTON OH 43812
Officer/Director/Trustee Three
JAKE VANSICKLE
TREASURER
314 6TH ST NE EXT
NEW PHILADELPHIA OH 44663
Officer/Director/Trustee Four
COURTNEY TIMMONS
SECRETARY
1967 HILLCREST DR
COSHOCTON OH 43812
Officer/Director/Trustee Five
RACHAEL SELDERS
DIRECTOR
1828 GRACE ST
COSHOCTON OH 43812
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 2/1/2017 |
| 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: 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 | No |
| One Third Support Gifts | No |
| Benefit of College | No |
| Private Foundation 508(e) | Yes |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | |
| Signature Title | |
| Signature Date |
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