FORM 1023-EZ for PICKLED PELLET HEADS

Field Data
EIN 47-5111707
Case Number EO-2015267-000308
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PICKLED PELLET HEADS
Organization’s Mailing Address 7204 CEDARCREST AVE
City BAKERSFIELD
State CA
ZIP 93308
Accounting period End 12
Primary contact name SHERI LOONEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ROBERT FINCH
PRESIDENT
7204 CEDARCREST AVE
BAKERSFIELD CA 93308

Officer/Director/Trustee Two

RUFUS ETHINGTON
VICE PRESIDENT
778 DEL MAR AVE
CHULA VISTA CA 91910

Officer/Director/Trustee Three

JEFF GURICAN
OFFICER
3632 TRUMAN CT
BAKERSFIELD CA 93309

Officer/Director/Trustee Four

RAY LOONEY
OFFICER
16256 BRIMHALL RD
BAKERSFIELD CA 93314

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/1/2015
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K30 - Food Service, Free Food Distribution Programs
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 No
One Third Support Gifts Yes
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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