FORM 1023-EZ for MENDO SHELTER PETS RESCUE

Field Data
EIN 81-2807281
Case Number EO-2016183-000080
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MENDO SHELTER PETS RESCUE
Organization’s Mailing Address 25981 TUCKER LANE
City WILLITS
State CA
ZIP 95490
Accounting period End 12
Primary contact name SHANNA PHILLIPS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SHANNA PHILLIPS
PRESIDENT AND DIRECTOR
25981 TUCKER LANE
WILLITS CA 95490

Officer/Director/Trustee Two

REBECCA EDWARDS
SECRETARY AND DIRECTOR
7001 N STATE STREET
CALPELLA CA 95418

Officer/Director/Trustee Three

ALANA HASTINGS
TREASURER AND DIRECTOR
168 BARBARA LANE
WILLITS CA 95490

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/19/2016
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: Yes
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 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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