FORM 1023-EZ for WILLAMETTE VALLEY FERRET SHELTER

Field Data
EIN 81-3276015
Case Number EO-2017151-000189
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WILLAMETTE VALLEY FERRET SHELTER
Organization’s Mailing Address 12000 HIGHWAY 47
City CARLTON
State OR
ZIP 97111
Accounting period End 12
Primary contact name MELISSA BRAUKMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MELISSA BRAUKMAN
DIRECTOR/SECRETARY
12000 HIGHWAY 47
CARLTON OR 97111

Officer/Director/Trustee Two

LISA HARRIS
CHAIR
1804 SE 158TH AVE
VANCOUVER WA 98683

Officer/Director/Trustee Three

GAIL STALTER
VICE CHAIR
3955 SW 91ST CT
PORTLAND OR 97225

Officer/Director/Trustee Four

CATHERINE WING
TREASURER
1735 HARTFORD DR
FOREST GROVE OR 97116

Officer/Director/Trustee Five

KATRINA RAMSELL
SHELTER VETERINARIAN
11876 SW BEAVERTON-HILLSDALE HIGHWA
BEAVERTON OR 97005

Organization’s website WWW.WILLAMETTEVALLEYFERRETSHELTER.ORG
Organization’s email WVFERRET@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/1/2016
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 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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