FORM 1023-EZ for FRIENDS OF THE FAULKNER COUNTY ANIMAL SHELTER INC

Field Data
EIN 82-5212831
Case Number EO-2018109-000738
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FRIENDS OF THE FAULKNER COUNTY ANIMAL SHELTER INC
Organization’s Mailing Address 2267 BLACKBERRY LANE
City CONWAY
State AR
ZIP 72034
Accounting period End 12
Primary contact name DONNA CLAWSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DONNA CLAWSON
OFFICER
2267 BLACKBERRY LANE
CONWAY AR 72034

Officer/Director/Trustee Two

VICKIE CRUTCHFIELD
OFFICER
26 MOUNTAIN VIEW ROAD
CONWAY AR 72034

Officer/Director/Trustee Three

SUSAN SHADDOX
OFFICER
4 SOUTHSHORE LANE
CONWAY AR 72032

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/13/12
Organization Incorporation State AR
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: 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 DONNA CLAWSON
Signature Title OFFICER
Signature Date 4/17/18

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