FORM 1023-EZ for NEWMAN VETERINARY RESEARCH HOSPITAL

Field Data
EIN 84-4617838
Case Number EO-2020041-000378
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NEWMAN VETERINARY RESEARCH HOSPITAL
Organization’s Mailing Address 2117 VETERANS DRIVE SE
City DECATUR
State AL
ZIP 35601
Accounting period End 12
Primary contact name SCOTT W FAULKNER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL NEWMAN
DIRECTOR
2117 VETERANS DRIVE SE
DECATUR AL 35601

Officer/Director/Trustee Two

CLAUDIA BUCHNER
DIRECTOR
2117 VETERANS DRIVE SE
DECATUR AL 35601

Officer/Director/Trustee Three

THOMAS WILLIAMSON
DIRECTOR
2117 VETERANS DRIVE SE
DECATUR AL 35601

Officer/Director/Trustee Four

RICHARD PALER
DIRECTOR
2117 VETERANS DRIVE SE
DECATUR AL 35601

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/20/2019
Organization Incorporation State AL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D40 - Veterinary Services
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
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 MICHAEL NEWMAN
Signature Title DIRECTOR
Signature Date 2/6/2020

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