SCHEDULE O
(Form 990)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
Attach to Form 990 or 990-EZ.
 Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2023
Open to Public
Inspection
Name of the organization
LEWIS COUNTY HUMANE SOCIETY INC
 
Employer identification number

16-1511904
Return Reference Explanation
FORM 990, PAGE 6, PART VI, LINE 2 CHERYL STEINER JAY STEINER PRESIDENT BOARD MEMBER SPOUSES RON MIZZI JOAN MIZZI BOARD MEMBER BOARD MEMBER SPOUSES BREANNA STOREY KAELA STOREY SECRETARY BOARD MEMBER SPOUSES
FORM 990, PAGE 6, PART VI, LINE 6 ORGANIZED WITH MEMBERS.
FORM 990, PAGE 6, PART VI, LINE 11B FORM 990 REVIEWED BY BOARD MEMBERS PRIOR TO FILING.
FORM 990, PAGE 6, PART VI, LINE 19 ALL GOVERNING DOCUMENTS ARE AVAILABLE FOR INSPECTION UPON REQUEST.
FORM 990, PART IX, LINE 11G LICENSES 0 100 0 BANK FEES 0 128 0 GRANT WRITING 0 4,750 0 PAYPAL FEES 1,145 0 0 PAYROLL FEE 0 762 0 SHELTER REVENUES VET CARE SERVICES 86,268 0 0 TOTAL 87,413 5,740 0
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990) 2023


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