FORM 1023-EZ for HUMANE SOCIETY OF PERRY COUNTY

Field Data
EIN 35-1585097
Case Number EO-2018163-000116
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HUMANE SOCIETY OF PERRY COUNTY
Organization’s Mailing Address PO BOX 21
City TELL CITY
State IN
ZIP 47586
Accounting period End 12
Primary contact name TAMERIA FORD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHRISTINE VANNOTE
PRESIDENT
1024 21ST ST
TELL CITY IN 47586

Officer/Director/Trustee Two

TAMERIA FORD
TREASURER
14235 LEOPOLD RD
LEOPOLD IN 47551

Officer/Director/Trustee Three

LISA GAIL GEORGE
CHAIR
PO BOX 321
TROY IN 47588

Officer/Director/Trustee Four

KATRINA PAGE
VICE PRESIDENT
1541 20TH ST
TELL CITY IN 47586

Officer/Director/Trustee Five

JULIE HAKES
SECRETARY
928 11TH ST
TELL CITY IN 47586

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/30/77
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: 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 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 TAMERIA FORD
Signature Title TREASURER
Signature Date 6/8/18

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