FORM 1023-EZ for FAIRYTAILS PET ADOPTIONS

Field Data
EIN 84-1915335
Case Number EO-2019163-000325
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FAIRYTAILS PET ADOPTIONS
Organization’s Mailing Address 6049 LEXINGTON RD
City WINCHESTER
State KY
ZIP 40391
Accounting period End 12
Primary contact name SUSAN LACY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HEATHER CARTER
PRESIDENT
6049
WINCHESTER KY 40391

Officer/Director/Trustee Two

MARLIN CARTER
VICE PRESIDENT
6049 LEXINGTON RD
WINCHESTER KY 40391

Officer/Director/Trustee Three

JAMEY SANDERS
TREASURER
357 HERRINGTON WOODS
HARRODSBURG KY 40330

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/14/19
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: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
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 HEATHER CARTER
Signature Title PRESIDENT
Signature Date 6/10/19

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