FORM 1023-EZ for PRENTISS COUNTY ANIMAL RESCUE SHELTER INC

Field Data
EIN 47-4773969
Case Number EO-2015246-000364
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PRENTISS COUNTY ANIMAL RESCUE SHELTER INC
Organization’s Mailing Address PO BOX 1207
City BOONEVILLE
State MS
ZIP 38829
Accounting period End 12
Primary contact name CHARLOTTE ADKINS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CHARLOTTE ADKINS
PRESIDENT/TREASURER
373 HWY 364
BOONEVILLE MS 38829

Officer/Director/Trustee Two

CARA SUE WALKER
VICE PRESIDENT/SECRETARY
48 COUNTY ROAD 2350
TISHOMINGO MS 38873

Officer/Director/Trustee Three

JOSEPH BORDEN
SHELTER COORDINATOR
19 COUNTY ROAD 4040
MARIETTA MS 38856

Officer/Director/Trustee Four

JEANNE BENSON
SPAY NEUTER TRANSPORT COORDINATOR
15 COUNTY ROAD 2121
BOONEVILLE MS 38829

Officer/Director/Trustee Five

KATHERINE GENO
FUNDRAISING COORDINATOR
115 MCKINNEY DR
BOONEVILLE MS 38829

Organization’s website NONE
Organization’s email PRENTISSCOUNTYANIMALRESCUE@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/12/2015
Organization Incorporation State MS
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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