FORM 1023-EZ for FOUR ROOTS RANCH

Field Data
EIN 84-3387634
Case Number EO-2019294-000304
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FOUR ROOTS RANCH
Organization’s Mailing Address 18781 KUHLMAN ROAD
City BEND
State OR
ZIP 97703
Accounting period End 12
Primary contact name ERIC CARR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ERIC CARR
PRESIDENT
18781 KUHLMAN ROAD
BEND OR 97703

Officer/Director/Trustee Two

KATHLEEN CARR
SECRETARY
18781 KUHLMAN ROAD
BEND OR 97703

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/6/19
Organization Incorporation State OR
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ERIC CARR
Signature Title PRESIDENT
Signature Date 10/17/19

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