FORM 1023-EZ for TRI-CITY PAWS INC

Field Data
EIN 84-3171857
Case Number EO-2019303-000262
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TRI-CITY PAWS INC
Organization’s Mailing Address PO BOX 757
City LYNCH
State KY
ZIP 40855
Accounting period End 12
Primary contact name LISA CAUDILL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LISA CAUDILL
DIRECTOR
PO BOX 406
LYNCH KY 40855

Officer/Director/Trustee Two

BARBARA CARTER
DIRECTOR
330 EAST MAIN STREET
LYNCH KY 40855

Officer/Director/Trustee Three

TIFFANY HAMPTON
DIRECTOR
234 TREMONT DRIVE
WALLINS CREEK KY 40873

Organization’s website
Organization’s email TRICITYPAWS@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/28/19
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: 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 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 LISA CAUDILL
Signature Title DIRECTOR
Signature Date 10/27/19

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