FORM 1023-EZ for COUNTRY ROAD RESCUE

Field Data
EIN 83-2706203
Case Number EO-2018340-000368
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COUNTRY ROAD RESCUE
Organization’s Mailing Address 1229 OHIO AVE
City MODESETO
State CA
ZIP 95358
Accounting period End 12
Primary contact name JANISE LEMOS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JANISE LEMOS
PRESIDENT
1229
MODESTO CA 95358

Officer/Director/Trustee Two

ELIZABETH NUNES
SECRETARY
2522 IOWA AVE
MODESTO CA 95358

Officer/Director/Trustee Three

SHERI DIRDRECKSON
TREASURER
21380 N MANN RD
ACAMPO CA 95220

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/19/18
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: Yes
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 JANISE LEMOS
Signature Title PRESIDENT
Signature Date 12/3/18

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