FORM 1023-EZ for Y-NOT SAVE A SAM RESCUE

Field Data
EIN 47-2632149
Case Number EO-2015002-000113
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name Y-NOT SAVE A SAM RESCUE
Organization’s Mailing Address 333 W 100 N
City LOGAN
State UT
ZIP 84321-4401
Accounting period End 6
Primary contact name YVETTE NIELSEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CARI BALDWIN
OFFICER/BOARD MEMBER
3395 NW FAIRWAY HEIGHTS DRIVE
BEND OR 97701

Officer/Director/Trustee Two

KARLA SCHERER
OFFICER/BOARD MEMBER
42774 SETTLERS RIDGE
MURRIETA CA 92562

Officer/Director/Trustee Three

GRETCHEN GRUBEL
OFFICER /BOARD MEMBER
23364 PARK COLOMBO
CALABASAS CA 91302

Officer/Director/Trustee Four

ELLEN PARKER
OFFICER/BOARD MEMBER
211 DEER PATH
LEAD SD 57754

Officer/Director/Trustee Five

YVETTE NIELSEN
PRESIDENT
333 W 100 N
LOGAN UT 84321-4401

Organization’s website
Organization’s email YNOTASAM@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/1/2014
Organization Incorporation State UT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
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 Yes
Conducting Activities Outside of United States Yes
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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