FORM 1023-EZ for VICKIS VILLAGE ANIMAL RESCUE AND SANCTUAY

Field Data
EIN 81-1611941
Case Number EO-2017003-000371
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name VICKIS VILLAGE ANIMAL RESCUE AND SANCTUAY
Organization’s Mailing Address 25020 HWY 6
City BENTON
State CA
ZIP 93514-7449
Accounting period End 12
Primary contact name ALEXANDREA HELMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALEXANDREA HELMS
CHAIR
25020 HWY 6
BENTON CA 93514-7449

Officer/Director/Trustee Two

KELSEY HUNSAKER
VICE-CHAIR
7100 SAN GABRIEL RD
ATASCADERO CA 93422-2171

Officer/Director/Trustee Three

ZOE FORD
TREASURER
1947 TULIPWOOD RD
PASO ROBLES CA 93446-4466

Officer/Director/Trustee Four

SHAYLA DAY
SECRETARY
9469 JORNADA LN APT 8
ATASCADERO CA 93422-5877

Organization’s website
Organization’s email ASCHELMS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/3/2016
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: 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 Yes
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
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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