FORM 1023-EZ for PINS FOR PETS

Field Data
EIN 47-4002204
Case Number EO-2015226-000279
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PINS FOR PETS
Organization’s Mailing Address 793 SOUTH TRACY BLVD SUITE 267
City TRACY
State CA
ZIP 95376
Accounting period End 12
Primary contact name SUNDEE HICKMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SUNDEE HICKMAN
EXECUTIVE DIRECTOR
12093 MIDWAY DRIVE
TRACY CA 95377

Officer/Director/Trustee Two

JACKIE WYCKOFF
PRESIDENT
PO BOX 50213
PALO ALTO CA 94303

Officer/Director/Trustee Three

MIKE HILLMAN
VICE PRESIDENT
40645 FREMONT BLVD SUITE 3
FREMONT CA 94538

Officer/Director/Trustee Four

MATT HICKMAN
DIRECTOR AT LARGE
12093 MIDWAY DRIVE
TRACY CA 95377

Officer/Director/Trustee Five

MICHELLE BIERMAN
DIRECTOR AT LARGE
40645 FREMONT BLVD SUITE 3
FREMONT CA 94538

Organization’s website WWW.BOWLINGPINSFORPETS.COM
Organization’s email PINSFORPETSBOWLING@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/3/2015
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 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
Signature Title
Signature Date

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