FORM 1023-EZ for FOCUS ON CUMBERLAND COUNTY ANIMAL SHELTER - FOCCAS
| Field | Data |
|---|---|
| EIN | 47-4858187 |
| Case Number | EO-2016007-000300 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | FOCUS ON CUMBERLAND COUNTY ANIMAL SHELTER - FOCCAS |
| Organization’s Mailing Address | PO BOX 3245 |
| City | CROSSVILLE |
| State | TN |
| ZIP | 38557-3245 |
| Accounting period End | 12 |
| Primary contact name | MARK HENDRIXSON |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
Officer/Director/Trustee One
JAN HENDRIXSON
PRESIDENT
29 EAST STANLEY ST
CROSSVILLE TN 38555
Officer/Director/Trustee Two
MARK HENDRIXSON MD
TREASURER
29 EAST STANLEY ST
CROSSVILLE TN 38555
Officer/Director/Trustee Three
EUGENIA HATFIELD
VICE-PRESIDENT
295 MYRTLE AVE
CROSSVILLE TN 38555
Officer/Director/Trustee Four
JUNE GARRETT
SECRETARY
90 ROME RD
CROSSVILLE TN 38555
| Organization’s website | FOCCAS-TN.ORG |
|---|---|
| Organization’s email | FOCCAS.TN@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 9/23/2015 |
| Organization Incorporation State | TN |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | D11 - Single Organization Support |
| 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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