FORM 1023-EZ for NOAHS ARK ANIMAL HAVEN AND RESCUE

Field Data
EIN 85-2004854
Case Number EO-2020237-000187
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NOAHS ARK ANIMAL HAVEN AND RESCUE
Organization’s Mailing Address 676
City LAKEHEAD
State CA
ZIP 96051
Accounting period End 12
Primary contact name CASSANDRA ODOM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CASSANDRA ODOM
CEO AND TREASURER
676
LAKEHEAD CA 96051

Officer/Director/Trustee Two

SHANNON TOWNSEND-BETTIS
SECRETARY
1710 P STREET
EUREKA CA 95501

Officer/Director/Trustee Three

DEREK LOCKHART
TRUSTEE
676
LAKEHEAD CA 96051

Organization’s website NOAHSARKANIMALHAVEN.ORG
Organization’s email NOAHSARKANIMALHAVEN@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/1/2020
Organization Incorporation State CA
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: No
Religious: No
Educational: No
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 Yes
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers Yes
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 CASSANDRA ODOM
Signature Title CEO AND TREASURER
Signature Date 8/19/2020

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