FORM 1023-EZ for PINEY MOUNTAIN FOSTER CARE INC

Field Data
EIN 84-3593563
Case Number EO-2019312-000151
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PINEY MOUNTAIN FOSTER CARE INC
Organization’s Mailing Address 1198 PINEY MOUNTAIN RD
City NEWPORT
State TN
ZIP 37821-5711
Accounting period End 12
Primary contact name DOUG BITTINGER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARIE BITTINGER
PRESIDENT/SECRETARY
1198 PINEY MOUNTAIN RD
NEWPORT TN 37821-5711

Officer/Director/Trustee Two

PAMELA KNUDSON
TREASURER
651 HALE BROOK RD
NEWPORT TN 37821-8233

Officer/Director/Trustee Three

MICHAEL WEGNER
BOARD MEMBER
1407 NOVELLA ST
OPELIKA AL 36801-2821

Officer/Director/Trustee Four

COURTNEY PHILLIPS
BOARD MEMBER
122 TREETOP WAY
NEWPORT TN 37821-5914

Officer/Director/Trustee Five

HELEN DUVALL
BOARD MEMBER
PO BOX 293
COSBY TN 37722

Organization’s website HTTP://PINEYMOUNTAINFOSTER.ORG
Organization’s email DOUG@PINEYMOUNTAINFOSTER.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/31/19
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D61 - Animal Training, Behavior
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 MARIE BITTINGER
Signature Title PRESIDENT/SECRETARY
Signature Date 11/6/19

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