FORM 1023-EZ for LUCKY PAWS OF MADISON COUNTY INC

Field Data
EIN 81-4751955
Case Number EO-2017006-000184
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LUCKY PAWS OF MADISON COUNTY INC
Organization’s Mailing Address 2057 210TH STREET
City WINTERSET
State IA
ZIP 50273-8462
Accounting period End 12
Primary contact name JOHN HOLCOMB
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHN HOLCOMB
PRESIDENT
1631 ROSEMAN BRIDGE ROAD
WINTERSET IA

Officer/Director/Trustee Two

VICKY BRENNER
SECRETARY
1632 MUELLER
WINTERSET IA

Officer/Director/Trustee Three

MITZI BERKLAND
TREASURER
2273 ELMWOOD AVE
WINTERSET IA

Officer/Director/Trustee Four

BECKY KINCADE
DIRECTOR
1702 260TH
WINTERSET IA

Officer/Director/Trustee Five

JENNY BRAUN
DIRECTOR
2391 VALLEYVIEW AVE
ST. CHARLES IA 50240

Organization’s website
Organization’s email LUCKYPAWSOFMADISONCO@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/21/2016
Organization Incorporation State IA
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 Yes
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
Signature Title
Signature Date

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