FORM 1023-EZ for PERFECTLY PALMER PET RESCUE & OUTREACH INC

Field Data
EIN 83-4716005
Case Number EO-2019143-000395
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PERFECTLY PALMER PET RESCUE & OUTREACH INC
Organization’s Mailing Address 913 MEADOW WAY
City CHURUBUSCO
State IN
ZIP 46723
Accounting period End 12
Primary contact name KRISTY WHITESELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KRISTY WHITESELL
PRESIDENT
913 MEADOW WAY
CHURUBUSCO IN 46723

Officer/Director/Trustee Two

DANA HAYNES
VICE-PRESIDENT
0542 W 400 S
HARTFORD CITY IN 47348

Officer/Director/Trustee Three

AMY HALEY
SECRETARY
PO BOX 387
UPLAND IN 46989

Organization’s website PERFECTLYPALMERPRO.WIXSITE.COM/PALMER
Organization’s email PERFECTLYPALMERPRO@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/6/19
Organization Incorporation State IN
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 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 KRISTY WHITESELL
Signature Title PRESIDENT
Signature Date 5/21/19

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