FORM 1023-EZ for PETALS-4-PAWS NURSERY & RESCUE

Field Data
EIN 83-3075879
Case Number EO-2019051-000428
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PETALS-4-PAWS NURSERY & RESCUE
Organization’s Mailing Address 4925 TIOGA WAY
City CENTRAL POINT
State OR
ZIP 97502
Accounting period End 12
Primary contact name MALIA GOLDEN-MCCALL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MALIA GOLDEN-MCCALL
FOUNDER/OPERATOR
4925 TIOGA WAY
CENTRAL POINT OR 97502

Officer/Director/Trustee Two

LAURA GOLDEN-MCCALL
FOUNDER/OPERATOR
4925 TIOGA WAY
CENTRAL POINT OR 97502

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/9/19
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: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence Yes
Compensation of Officer director trustee No
Donation of funds Yes
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 Yes
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 MALIA GOLDEN-MCCALL
Signature Title FOUNDER/OPERATOR
Signature Date 2/18/19

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