FORM 1023-EZ for FRIENDS OF CALAVERAS ANIMAL SERVICES

Field Data
EIN 36-4790746
Case Number EO-2015148-000236
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FRIENDS OF CALAVERAS ANIMAL SERVICES
Organization’s Mailing Address 891 MOUNTAIN RANCH ROAD
City SAN ANDREAS
State CA
ZIP 95249
Accounting period End 12
Primary contact name MICHELE RUGO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DEBRA BEAUFORT
CHAIRPERSON
4543 DONYA DRIVE
MOKELUMNE HILL CA 95245

Officer/Director/Trustee Two

KIMBERLY DEARRILLAGA
TREASURER
PO BOX 192
MOKELUMNE HILL CA 95245

Officer/Director/Trustee Three

MICHELE RUGO
SECRETARY
PO BOX 368
MURPHYS CA 95247

Officer/Director/Trustee Four

JUDY TELEZINSKI
COMMUNITY RELATIONS
PO BOX 4311
CAMP CONNELL CA 95223

Organization’s website
Organization’s email FOCUSFRIEND@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/30/2014
Organization Incorporation State CA
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: 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 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
Signature Title
Signature Date

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