FORM 1023-EZ for NORCALFARMACY

Field Data
EIN 81-4787581
Case Number EO-2017017-000473
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NORCALFARMACY
Organization’s Mailing Address 20 CACTUS LANE
City OAKLEY
State CA
ZIP 94561
Accounting period End 12
Primary contact name DANIELA HERNANDEZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DANIELA HERNANDEZ
DIRECTOR AND PRESIDENT
20 CACTUS LANE
OAKLEY CA 94561

Officer/Director/Trustee Two

STEVEN HERNANDEZ
DIRECTOR/VP/TREASURER
20 CACTUS LANE
OAKLEY CA 94561

Officer/Director/Trustee Three

ANGEL DEWITT
DIRECTOR
220 EL DORADO DR
PACIFICA CA 94044

Officer/Director/Trustee Four

GLENN DEAN
DIRECTOR
2061 16TH AVE UNIT FRONT
SACRAMENTO CA 95822

Officer/Director/Trustee Five

NICOLE LUNGREN
DIRECTOR
1017 MORNING GLORY WAY
OAKLEY CA 94561

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/6/2016
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 Yes
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
Signature Title
Signature Date

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