FORM 1023-EZ for FRIENDS OF GRENADA ANIMAL SHELTER

Field Data
EIN 86-1555279
Case Number EO-2021077-000033
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FRIENDS OF GRENADA ANIMAL SHELTER
Organization’s Mailing Address 967 MONDY RD
City GRENADA
State MS
ZIP 38901
Accounting period End 12
Primary contact name JENNIFER BUSBY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JENNIFER BUSBY
PRESIDENT
967 MONDY ROAD
GRENADA MS 38901

Officer/Director/Trustee Two

RANDY BROWN
TREASURER
438 SOUTH STREET
GRENADA MS 38901

Officer/Director/Trustee Three

SHIRLEY CARNES
SECRETARY
1807 WEST GOVAN STREET
GRENADA MS 38901

Organization’s website HTTPS://FRIENDSOFGRENADAANIMALSHELTER.COM/
Organization’s email RESCUEDBYJENNI@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/15/2019
Organization Incorporation State MS
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 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 JENNIFER BUSBY
Signature Title PRESIDENT
Signature Date 1/19/2021

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