FORM 1023-EZ for NOAHS ANIMAL SHELTER & RESCUE

Field Data
EIN 84-2790619
Case Number EO-2019234-000392
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NOAHS ANIMAL SHELTER & RESCUE
Organization’s Mailing Address 2848 PLEASANT RD SUITE 116
City FORT MILL
State SC
ZIP 29708
Accounting period End 12
Primary contact name LAWREN KEATTS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LAWREN KEATTS
EXECUTIVE DIRECTOR
2848 PLEASANT RD
FORT MILL SC 29708

Officer/Director/Trustee Two

CATHY GOODWIN
TREASURER
2848 PLEASANT RD
FT MILL SC 29708

Officer/Director/Trustee Three

VICKY FRYE
SECRETARY
2848 PLEASANT RD
FT MILL SC 29708

Officer/Director/Trustee Four

TABITHA LAFFERTY
BOARD MEMBER
2848 PLEASANT RD
FT MILL SC 29708

Officer/Director/Trustee Five

BILL HOLLAND
BOARD MEMBER
2848 PLEASANT RD
FT MILL SC 29708

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/19/19
Organization Incorporation State SC
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 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 LAWREN KEATTS
Signature Title EXECUTIVE DIRECTOR
Signature Date 8/20/19

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