FORM 1023-EZ for NORTHERN CALIFORNIA NAVHDA

Field Data
EIN 47-1555376
Case Number EO-2020069-000510
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NORTHERN CALIFORNIA NAVHDA
Organization’s Mailing Address 2816 CARRISA WAY
City SACRAMENTO
State CA
ZIP 95821
Accounting period End 12
Primary contact name NATHAN GREGOIRE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LARRY DELANEY
PRESIDENT
36650 HIGHWAY 33
COALINGA CA 93210

Officer/Director/Trustee Two

NATHAN GREGOIRE
VICE PRESIDENT
2816 CARRISA WAY
SACRAMENTO CA 95821

Officer/Director/Trustee Three

ERIN GREGOIRE
SECRETARY
2816 CARRISA WAY
SACRAMENTO CA 95821

Officer/Director/Trustee Four

SUSAN MEADOWS
TREASURER
2812 KINO STREET
SACRAMENTO CA 95821

Organization’s website WWW.NORCALNAVHDA.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/3/2019
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D61 - Animal Training, Behavior
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 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 NATHAN GREGOIRE
Signature Title VICE PRESIDENT
Signature Date 3/6/2020

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