FORM 1023-EZ for CALPAWS K9 RESCUE

Field Data
EIN 84-3214784
Case Number EO-2019281-000349
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CALPAWS K9 RESCUE
Organization’s Mailing Address 1991 MARTA DRIVE
City PLEASANT HILL
State CA
ZIP 94523
Accounting period End 12
Primary contact name ALEXANDRA CLARK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALEXANDRA CLARK
CO FOUNDER /TREASURER
1991 MARTA DRIVE
PLEASANT HILL CA 94523

Officer/Director/Trustee Two

DONALD PRATHER
CO FOUNDER/SECRETARY
60 ARBOLADO DRIVE
WALNUT CREEK CA 94598

Officer/Director/Trustee Three

DEBORAH BERGFELD
OFFICER
278 CUESTA REAL
LA HONDA CA 94020

Officer/Director/Trustee Four

EVAN PRATHER
OFFICER
361 KATHLEEN DRIVE
PLEASANT HILL CA 94523

Officer/Director/Trustee Five

CASSIDY ORR
OFFICER
15630 STEVENS CREEK CANYON ROAD
CUPERTINO CA 95014

Organization’s website N/A
Organization’s email CPK9RESCUE@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/6/19
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: 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 Yes
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ALEXANDRA CLARK
Signature Title CO FOUNDER /TREASURER
Signature Date 10/6/19

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