FORM 1023-EZ for AMPUTEE OUTREACH INC

Field Data
EIN 84-2638544
Case Number EO-2019241-000332
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name AMPUTEE OUTREACH INC
Organization’s Mailing Address 1361 CROUCH AVE
City CHICO
State CA
ZIP 95928
Accounting period End 12
Primary contact name SHELLY BAXTER-WETMORE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHELLY BAXTER-WETMORE
DIRECTOR
1361 CROUCH AVE
CHICO CA 95928

Officer/Director/Trustee Two

DANIELLE BRANHAN
SECRETARY
26 QUISTA DR
CHICO CA 95973

Officer/Director/Trustee Three

MITCHELL HOGGARD
TREASURER
G 1074 EAST AVE
CHICO CA 95926

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/24/19
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P80 - Services to Promote the Independence of Specific Populations
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 SHELLY BAXTER-WETMORE
Signature Title DIRECTOR
Signature Date 8/27/19

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