FORM 1023-EZ for HUMBLE PAWS

Field Data
EIN 85-3357975
Case Number EO-2020283-000090
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HUMBLE PAWS
Organization’s Mailing Address 508 MONROE AVENUE
City CAROLINA BEACH
State NC
ZIP 28428
Accounting period End 10
Primary contact name LAURIE ROUSE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LAURIE ROUSE
CEO
508 MONROE AVENUE
CAROLINA BEACH NC 28428

Officer/Director/Trustee Two

TIMOTHY MORRISON
TREASURER
413 GREENVILLE AVENUE
CAROLINA BEACH NC 28428

Officer/Director/Trustee Three

ALEXANDRA DAVALOS
CHAIRPERSON
2543 MERIDIAN PARKWAY APT 2318
DURHAM NC 27713

Organization’s website HOMES4JIMMY.COM
Organization’s email HOMES4JIMMY@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/7/2020
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 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 Yes
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 LAURIE ROUSE
Signature Title CEO
Signature Date 10/7/2020

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