FORM 1023-EZ for HILLBILLY PAWS ANIMAL RESCUE

Field Data
EIN 83-4106873
Case Number EO-2019098-000072
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HILLBILLY PAWS ANIMAL RESCUE
Organization’s Mailing Address 6682 BEAUTY RD
City BEAUTY
State KY
ZIP 41203-9006
Accounting period End 12
Primary contact name CYNTHIA MCGINNIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CYNTHIA MCGINNIS
BOARD OF DIRECTOR
6682 BEAUTY RD
BEAUTY KY 41203-9006

Officer/Director/Trustee Two

TAMMY MUNCY
BOARD OF DIRECTOR
83 WALLACE WILLIAMSON RD
TOMAHAWK KY 41262-8722

Officer/Director/Trustee Three

PHYLICIA EVANS
BOARD OF DIRECTOR
121 EVANS FARM RD
LOVELY KY 41231-8000

Officer/Director/Trustee Four

DANETTA WELLS
BOARD OF DIRECTOR
774 BLACKBERRY LANE
DEBORD KY 41214-9016

Officer/Director/Trustee Five

BARBARA ANN MAYNARD
BOARD OF DIRECTOR
9 MONTGOMERY LANE
BELFRY KY 41514-9081

Organization’s website
Organization’s email HILLBILLYPAWSANIMALRESCUE@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/26/19
Organization Incorporation State KY
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 CYNTHIA MCGINNIS
Signature Title BOARD OF DIRECTOR
Signature Date 4/4/19

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