FORM 1023-EZ for WILD WEST MINIATURE AMERICAN SHEPHERD CLUB

Field Data
EIN 82-4599804
Case Number EO-2018094-000239
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WILD WEST MINIATURE AMERICAN SHEPHERD CLUB
Organization’s Mailing Address 16435 EVERETTS WAY
City RIVERSIDE
State CA
ZIP 92504
Accounting period End 12
Primary contact name GARY SOTHARD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PATTI CUTLER
PRESIDENT
33178 BRINLEE LN
SAN TAN VALLEY AZ 85143

Officer/Director/Trustee Two

GARY SOTHARD
TREASURER
16435 EVERETTS WAY
RIVERSIDE CA 92504

Officer/Director/Trustee Three

KERRY KIRTLEY
VICE PRESIDENT
1515 DEVORE RD
DEVORE CA 92407

Officer/Director/Trustee Four

KRISTIN SOTHARD
SECRETARY
16435 EVERETTS WAY
RIVERSIDE CA 92504

Officer/Director/Trustee Five

KIM GARDNER
DIRECTOR
46585 E TEA CUP RANCH RD
FLORENCE AZ 85132

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/24/18
Organization Incorporation State CA
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: No
Religious: No
Educational: Yes
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 GARY SOTHARD
Signature Title TREASURER
Signature Date 4/2/18

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