FORM 1023-EZ for FRIENDS OF DEKALB ANIMAL SHELTER INC

Field Data
EIN 85-0500118
Case Number EO-2020150-000112
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FRIENDS OF DEKALB ANIMAL SHELTER INC
Organization’s Mailing Address 186 TRANSFER STATION RD
City SMITHVILLE
State TN
ZIP 37166
Accounting period End 12
Primary contact name CATHY BADER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CATHY BADER
PRESIDENT
186TRANSFER STATION ROAD
SMITHVILLE TN 37166

Officer/Director/Trustee Two

JILL CLARK
TREASURER
186 TRANSFER STATION RD
SMITHVILLE TN 37166

Officer/Director/Trustee Three

WILLIAM ERDMAN
VICE PRESIDENT
186 TRANSFER STATION RD
SMITHVILLE TN 37166

Officer/Director/Trustee Four

NIKKI ELLIS
SECRETARY
186 TRANSFER STATION RD
SMITHVILLE TN 37166

Officer/Director/Trustee Five

SUE KNOWLTON
MEMBER AT LARGE
186 TRANSFER STATION RD
SMITHVILLE TN 37166

Organization’s website N/A
Organization’s email FRIENDSOFDEKALBANIMALSHELTER@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/25/2020
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D11 - Single Organization Support
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 CATHY BADER
Signature Title PRESIDENT
Signature Date 5/27/2020

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