FORM 1023-EZ for SIERRA COUNTY ANIMAL RESCUE SOCIETY

Field Data
EIN 47-3438073
Case Number EO-2015128-000406
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SIERRA COUNTY ANIMAL RESCUE SOCIETY
Organization’s Mailing Address 39 TULPIA TRL
City HILLSBORO
State NM
ZIP 88042-9518
Accounting period End 12
Primary contact name ROBBIN BRODSKY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JOYCE BRODSKY
PRESIDENT
39 TULPIA TRL
HILLSBORO NM 88042-9518

Officer/Director/Trustee Two

BARBARA LOVELL
VICE PRESIDENT
15 KINGSTON MAIN ST
HILLSBORO NM 88042

Officer/Director/Trustee Three

ANNE ANDERS
SECRETARY
24 ANDERS RD
HILLSBORO NM 88042

Officer/Director/Trustee Four

SANDY FICKLIN
DIRECTOR AT LARGE
ALTO ROAD
CABALLO NM 87931

Officer/Director/Trustee Five

JAN HALEY
DIRECTOR AT LARGE
WEST MAIN ST
HILLSBORO NM 88042

Organization’s website
Organization’s email SCARS87942@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/16/2015
Organization Incorporation State NM
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
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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