FORM 1023-EZ for VAN WERT COUNTY HUMANE SOCIETY

Field Data
EIN 47-4101744
Case Number EO-2015153-000008
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name VAN WERT COUNTY HUMANE SOCIETY
Organization’s Mailing Address 309 BONNEWITZ AVE
City VAN WERT
State OH
ZIP 45891
Accounting period End 12
Primary contact name MARK MCCLEERY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

PETE WEIR
PRESIDENT
1097 MAXINE LANE
VAN WERT OH 45891

Officer/Director/Trustee Two

BRENDA HOFMANN
VICE PRESIDENT
110 BONNEWITZ AVE
VAN WERT OH 45891

Officer/Director/Trustee Three

MARK MCCLEERY
TREASURER
14101 MENDON ROAD
VAN WERT OH 45891

Officer/Director/Trustee Four

KARI KUHN
SECRETARY
936 ELM STREET
VAN WERT OH 45891

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/21/1986
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 Yes
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
Signature Title
Signature Date

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