FORM 1023-EZ for INKY ANIMAL RESCUE

Field Data
EIN 82-3054088
Case Number EO-2017303-000495
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name INKY ANIMAL RESCUE
Organization’s Mailing Address PO BOX 534
City SELLERSBURG
State IN
ZIP 47172-9998
Accounting period End 12
Primary contact name AMY MORRISON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AMY MORRISON
OFFICER
5209 E HWY 62
JEFFERSONVILLE IN 47130-8709

Officer/Director/Trustee Two

TERESA DAY
OFFICER
7120 VIRGIL COURT
SELLERSBURG IN 47172-9998

Officer/Director/Trustee Three

FAYE HINTON
BOARD MEMBER
1733 SUMMERLIN PLACE
JEFFERSONVILLE IN 47130-8709

Officer/Director/Trustee Four

AMBER GRAVES
OFFICER
4320 FORESTRY ROAD
HENRYVILLE IN 47126-9430

Officer/Director/Trustee Five

BARBARA KYRISS
VOTING MEMBER
219 W HARRISON AVENUE
CLARKSVILLE IN 47129-2707

Organization’s website N/A
Organization’s email INKYANIMALRESCUE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/21/2017
Organization Incorporation State IN
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 Yes
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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