FORM 1023-EZ for CREATING WELLNESS SOCIAL THERAPY CANINE PROGRAM INC

Field Data
EIN 47-3308237
Case Number EO-2015134-000360
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CREATING WELLNESS SOCIAL THERAPY CANINE PROGRAM INC
Organization’s Mailing Address 9404 KENSINGTON CT
City WINDSOR
State CA
ZIP 95492-8543
Accounting period End 12
Primary contact name ROZ MORRIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ROZ MORRIS
DIRECTOR, PRESIDENT
9404 KENSINGTON COURT
WINDSOR CA 95492

Officer/Director/Trustee Two

STEVE WOLF
DIRECTOR, VICE PRESIDENT
516 BUCKEYE DR
WINDSOR CA 95492

Officer/Director/Trustee Three

PATTI JUNG
DIRECTOR, TREASURER
4643 SUMMERHAYS PL
SANTA ROSA CA 95405

Officer/Director/Trustee Four

MELISSA DAVIS
DIRECTOR, SECRETARY
3519 HANOVER PL
SANTA ROSA CA 95404

Officer/Director/Trustee Five

DAVID TURPEL
DIRECTOR
2370 BAGGETT DR
SANTA ROSA CA 95401

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/23/2015
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
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 Yes
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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