FORM 1023-EZ for PLUMAS COUNTY DISASTER ANIMAL RESPONSE TEAM

Field Data
EIN 82-4390100
Case Number EO-2018046-000213
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PLUMAS COUNTY DISASTER ANIMAL RESPONSE TEAM
Organization’s Mailing Address 201 N MILL CREEK RD
City QUINCY
State CA
ZIP 95971
Accounting period End 12
Primary contact name CHANDLER PEAY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WILLO VIEIRA
PRESIDENT
317 MILL CREEK RD
QUINCY CA 95971

Officer/Director/Trustee Two

MELISSA BISHOP
VICE PRESIDENT
95 ELM ST
QUINCY CA 95971

Officer/Director/Trustee Three

CHANDLER PEAY
TREASURER
160 KAREN ST
QUINCY CA 95971

Officer/Director/Trustee Four

ALEX SAEZ
SECRETARY
237 KAREN ST
QUINCY CA 95971

Organization’s website
Organization’s email PLUMASCOUNTYDART@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/7/18
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 Yes
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 CHANDLER PEAY
Signature Title TREASURER
Signature Date 2/13/18

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