FORM 1023-EZ for URBAN WILDLIFE RESEARCH PROJECT

Field Data
EIN 47-2341365
Case Number EO-2018065-000386
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name URBAN WILDLIFE RESEARCH PROJECT
Organization’s Mailing Address 530 KENDALL AVE SUITE 1
City PALO ALTO
State CA
ZIP 94306
Accounting period End 12
Primary contact name WILLIAM LEIKAM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GREGORY SCHUERMANN KEREKES
CFO
21478 MARY ALICE WAY
LOS GATOS CA 95033

Officer/Director/Trustee Two

ALEXANDRA RAE PEREZ
SECRETARY
21478 MARY ALIVE WAY
LOS GATOS CA 95033

Officer/Director/Trustee Three

WILLIAM CHECKLY LEIKAM
CEO PRESIDENT
530 KENDALL AVE SUITE 1
PALO ALTO CA 94306-2753

Officer/Director/Trustee Four

THOMAS LEIKAM
DIRECTOR
146 CUTTER DR
WATSONVILLE CA 95076

Officer/Director/Trustee Five

TAYLOR GROVES
DIRECTOR
118 RAINIER ST
SAN JOSE CA 95126

Organization’s website URBANWILDLIFERESEARCHPROJECT.COM
Organization’s email WCLEIKAM@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/1/16
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D30 - Wildlife Preservation, Protection
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: Yes
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 WILLIAM CHECKLY LEIKAM
Signature Title CFO
Signature Date 3/4/18

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