FORM 1023-EZ for GOLDEN STATE PYGMY GOAT ASSOCIATION

Field Data
EIN 81-3046677
Case Number EO-2016312-000181
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GOLDEN STATE PYGMY GOAT ASSOCIATION
Organization’s Mailing Address 836 NORD AVE
City BAKERSFIELD
State CA
ZIP 93314
Accounting period End 12
Primary contact name PENNI ROGERS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHANNON PARKS
PRESIDENT/CEO
836 NORD AVE
BAKERSFIELD CA 93314

Officer/Director/Trustee Two

MICHELLE BERRYMAN
SECRETARY
24351 SILVER CREEK WAY
TEHACHAPI CA 93561

Officer/Director/Trustee Three

PENNI ROGERS
TREASURER/CFO
8603 ROAD 228
TERRA BELLA CA 93270

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/26/2016
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D60 - Other Services - Specialty Animals
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 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
Signature Title
Signature Date

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