FORM 1023-EZ for TUFFYS SPAY AND NEUTER CLINIC OF LINCOLN COUNTY INC

Field Data
EIN 84-2115657
Case Number EO-2019172-000193
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TUFFYS SPAY AND NEUTER CLINIC OF LINCOLN COUNTY INC
Organization’s Mailing Address 1011 ORCHARD AVENUE
City CRAB ORCHARD
State KY
ZIP 40419
Accounting period End 12
Primary contact name TRACI TROYER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TRACI TROYER
DIRECTOR, TREASURER,
1011 ORCHARD W
CRAB ORCHARD KY 40419

Officer/Director/Trustee Two

PAULA GRIMES
DIRECTOR, PRESIDENT, SECRETARY
3737 KY HWY 590
STANFORD KY 40484

Officer/Director/Trustee Three

LANICE GOODIN
DIRECTOR, VICE TREASURER
495 MEADOW BROOK ROAD
STANFORD KY 40484

Officer/Director/Trustee Four

MONROE TROYER
VICE PRESIDENT, VICE SECRETARY
1011 ORCHARD AVENUE
CRAB ORCHARD KY 40419

Officer/Director/Trustee Five

BRITTANY MILLER
ALTERNATE
53 ALLEY STREET
KINGS MOUNTATIN KY 40442

Organization’s website
Organization’s email TUFFYSCLINIC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/12/19
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: 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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name TRACI TROYER
Signature Title DIRECTOR, TREASURER,
Signature Date 6/19/19

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