FORM 1023-EZ for POOKAHS PACK RESCUE

Field Data
EIN 83-3096366
Case Number EO-2019052-000204
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name POOKAHS PACK RESCUE
Organization’s Mailing Address 5273 EMIL DR SW
City NAVARRE
State OH
ZIP 44662
Accounting period End 12
Primary contact name SHAWNA LEWERS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHAWNA LEWERS
PRESIDENT
5273 EMIL DR SW
NAVARRE OH 44662

Officer/Director/Trustee Two

KIMBERLY GANS
VICE PRESIDENT
36 4TH ST SE
MASSILLON OH 44646

Officer/Director/Trustee Three

ELENA MORENA
SECRETARY
636 JEFFREY AVE NW
MASSILLON OH 44646

Officer/Director/Trustee Four

ANDREA MORENA
TREASURER
819 FRANKLIN ST NE
MASSILLON OH 44646

Officer/Director/Trustee Five

CANDY DAVIS
TRUSTEE
2829 CHIPPENDALE ST NW
MASSILLON OH 44646

Organization’s website
Organization’s email POOKAHSPACK@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/25/18
Organization Incorporation State OH
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 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 SHAWNA LEWERS
Signature Title PRESIDENT
Signature Date 2/18/19

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