FORM 1023-EZ for OREGON COAST SMALL ANIMAL RESCUE

Field Data
EIN 86-2288075
Case Number EO-2021092-001417
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name OREGON COAST SMALL ANIMAL RESCUE
Organization’s Mailing Address 880 NW 6TH ST
City TOLEDO
State OR
ZIP 97391
Accounting period End 12
Primary contact name ROBIN WEDERTZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBIN WEDERTZ
PRESIDENT
880 NW 6TH STREET
TOLEDO OR 97391

Officer/Director/Trustee Two

TARA ROBERTS
VICE PRESIDENT
1508 SW HARBOR AVE
LINCOLN CITY OR 97367

Officer/Director/Trustee Three

JED HANSEN
TREASURER
845 CRESTLINE DR
WALDPORT OR 97394

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/14/2021
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: 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 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 ROBIN WEDERTZ
Signature Title PRESIDENT
Signature Date 2/25/2021

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