FORM 1023-EZ for FOREVER HOME ADOPTION INC

Field Data
EIN 47-5406128
Case Number EO-2015302-000248
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FOREVER HOME ADOPTION INC
Organization’s Mailing Address PO BOX 233
City ONTARIO
State OR
ZIP 97914
Accounting period End 12
Primary contact name VICTORIA ROBINSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

VICTORIA ROBINSON
PRESIDENT
712 NW 3RD ST
FRUITLAND ID 83619

Officer/Director/Trustee Two

PATRICIA SASHEARER
BOARD MEMBER
5556 QUINCY RD
ONTARIO OR 97914

Officer/Director/Trustee Three

BARBARA HUTCHINSON
BOARD MEMBER
1600 N WHITLEY DR
FRUITLAND ID 83619

Organization’s website
Organization’s email VICTORIA@EZEESHOPPEMM.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/13/2015
Organization Incorporation State ID
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: No
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 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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