FORM 1023-EZ for LEND A PAW

Field Data
EIN 84-3545334
Case Number EO-2019338-000350
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LEND A PAW
Organization’s Mailing Address PO BOX 1001
City ALBEMARLE
State NC
ZIP 28002
Accounting period End 12
Primary contact name AMY SHELTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANNA MARIE BLISS
PRESIDENT
108 DRIFTWOOD LANE
LOCUST NC 28097

Officer/Director/Trustee Two

SHANNON FREEMAN
SECRETARY
40060 MANERS CIRCLE
NEW LONDON NC 28127

Officer/Director/Trustee Three

TAMMY HUNEYCUTT BEACHUM
TREASURER
16517 INDIAN MOUND ROAD
NORWOOD NC 28128

Officer/Director/Trustee Four

AMY SHELTON
EXECUTIVE DIRECTOR
PO BOX 1001
ALBEMARLE NC 28002

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/31/2019
Organization Incorporation State NC
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 AMY SHELTON
Signature Title EXECUTIVE DIRECTOR
Signature Date 12/2/2019

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