FORM 1023-EZ for FOUR PAWS RESCUE OF KANSAS INC

Field Data
EIN 27-3520506
Case Number EO-2014282-000430
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FOUR PAWS RESCUE OF KANSAS INC
Organization’s Mailing Address 12490 SCHOOL CREEK RD
City SAINT GEORGE
State KS
ZIP 66535
Accounting period End 12
Primary contact name REBECCA OUELLETTE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

REBECCA OUELLETTE
PRESIDENT
12490 SCHOOL CREEK RD
SAINT GEORGE KS 66535

Officer/Director/Trustee Two

QUENTIN OUELLETTE
SECRETARY
12490 SCHOOL CREEK RD
SAINT GEORGE KS 66535

Officer/Director/Trustee Three

JIM LIND
OFFICER VOLUNTEER COORDINATOR
15160 PRAIRIE VIEW CIRCLE
WAMEGO KS 66547

Officer/Director/Trustee Four

ADAM CLARK
OFFICER
28325 HEREFORD RD
WAMEGO KS 66547

Officer/Director/Trustee Five

HALLY HAYEN
OFFICER
1828 CONCORD LANE
MANHATTAN KS 66503

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/14/2010
Organization Incorporation State KS
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: No
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 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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