FORM 1023-EZ for FRIENDS OF RUSSELL COUNTY VIRGINIAANIMAL SHELTER

Field Data
EIN 81-0983361
Case Number EO-2016012-000075
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FRIENDS OF RUSSELL COUNTY VIRGINIAANIMAL SHELTER
Organization’s Mailing Address 447 DENNISON CHAPEL RD
City LEBANON
State VA
ZIP 24266
Accounting period End 12
Primary contact name CHARLENE FARTHING
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CHARLENE FARTHING
PRESIDENT, DIRECTOR
447 DENNISON CHAPEL RD
LEBANON VA 24266

Officer/Director/Trustee Two

MICHELLE MUSICK
SECRETARY, DIRECTOR
447 DENNISON CHAPEL RD
LEBANON VA 24266

Officer/Director/Trustee Three

CLARE FRENCH
TREASURER, DIRECTOR
447 DENNISON CHAPEL RD
LEBANON VA 24266

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/31/2015
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D99 - Animal-Related N.E.C.
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 Yes
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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