FORM 1023-EZ for TRIPLE B FOUNDATION FOR PET THERAPY

Field Data
EIN 82-0691814
Case Number EO-2017068-000410
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TRIPLE B FOUNDATION FOR PET THERAPY
Organization’s Mailing Address 69804 SQUIRE LOOP
City COVE
State OR
ZIP 97824
Accounting period End 12
Primary contact name BRIAN HOHSTADT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CATHY CAMPBELL
VICE PRESIDENT
16100 TIERRA PLAZA
FT. MYERS FL 33908

Officer/Director/Trustee Two

BRIAN HOHSTADT
PRESIDENT
69804 SQUIRE LOOP
COVE OR 97824

Officer/Director/Trustee Three

WILLIAM RUNYON
TREASURER
69804 SQUIRE LOOP
COVE OR 97824

Officer/Director/Trustee Four

GAIL HESCOCK
SECRETARY
1303 W AVENUE
LA GRANDE OR 97850

Organization’s website
Organization’s email BRIAN.HOHSTADT@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/7/2016
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D99 - Animal-Related 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 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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