FORM 1023-EZ for SOUTHWESTERN WILDLIFE SURVEY INC

Field Data
EIN 47-4418883
Case Number EO-2016004-000124
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SOUTHWESTERN WILDLIFE SURVEY INC
Organization’s Mailing Address 647 ORANGE GROVE AVE UNIT 207
City SOUTH PASADENA
State CA
ZIP 91030-2330
Accounting period End 12
Primary contact name GREG MCRAY EA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CHARLES RANDEL III
PRESIDENT
647 ORANGE GROVE AVE UNIT 207
SOUTH PASADENA CA 91030

Officer/Director/Trustee Two

DANA CROM
SECRETARY / TREASURER
230 W LINE ST
BISHOP CA 93514

Officer/Director/Trustee Three

NOVA SILVY
DIRECTOR
14073 IGN RD
COLLEGE STATION TX 77845

Officer/Director/Trustee Four

CLIFTON GRIFFIN
DIRECTOR
6232 ALBRITTON LN
SALISBURY MD 21801

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/27/2015
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D05 - Research Institutes and/or Public Policy Analysis
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: Yes
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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