FORM 1023-EZ for DELTA VETERINARY MEDICAL ASSOCIATION

Field Data
EIN 81-3023668
Case Number EO-2016344-000292
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DELTA VETERINARY MEDICAL ASSOCIATION
Organization’s Mailing Address PO BOX 992
City WOODBRIDGE
State CA
ZIP 95258
Accounting period End 6
Primary contact name ELISABETH KLAPSTEIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RICHARD TURNER
PRESIDENT
819 N SACRAMENTO ST
LODI CA 95240

Officer/Director/Trustee Two

JENNY WU
TREASURER
4955 WEST LANE
STOCKTON CA 95210

Officer/Director/Trustee Three

ELISABETH KLAPSTEIN
SECRETARY
20633 NORTH ELLIOTT RD
LOCKEFORD CA 95237

Officer/Director/Trustee Four

JULIE DAMRON
VICE PRESIDENT
7707 WEST LANE
STOCKTON CA 95210

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/5/2016
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code U03 - Professional Societies, Associations
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: Yes
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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