FORM 1023-EZ for NORTHERN CALIFORNIA BLOODHOUND RESCUE INC

Field Data
EIN 47-4137913
Case Number EO-2015349-000297
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NORTHERN CALIFORNIA BLOODHOUND RESCUE INC
Organization’s Mailing Address 1512 BURLINGAME AVENUE
City BURLINGAME
State CA
ZIP 94010
Accounting period End 12
Primary contact name PAMELA S HERRANZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

PAMELA S HERRANZ
DIRECTOR
1512 BURLINGAME AVENUE
BURLINGAME AR 94010

Officer/Director/Trustee Two

JOSEPHINE LISOWSKI
LOGISTICAL COORDINATOR
807 EMILY DRIVE
MOUNTAIN VIEW CA 94043-2021

Officer/Director/Trustee Three

PAT MOFFITT
SECRETARY
1399 SANDERS ROAD
WINDSOR CA 95492

Officer/Director/Trustee Four

JESSICA DICKSON
TREASURER
5217 ATLANTA WAY
SACRAMENTO CA 95841

Officer/Director/Trustee Five

KATHLEEN BROWN
TRANSPORT COORDINATOR
835 NICHOLS LANE
OLIVEHURST CA 95961

Organization’s website NCBHR.ORG
Organization’s email PSHERRANZ@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/13/2015
Organization Incorporation State CA
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: No
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
Signature Title
Signature Date

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