FORM 1023-EZ for KADIMA ANIMAL SANCTUARY INC

Field Data
EIN 83-1777742
Case Number EO-2018248-000106
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KADIMA ANIMAL SANCTUARY INC
Organization’s Mailing Address 9328 SW 30TH AVE UNIT A
City PORTLAND
State OR
ZIP 97219
Accounting period End 12
Primary contact name ROBERT A SEDERSTROM CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TAMARA M GARDNER
PRESIDENT
9328 SW 30TH AVE UNIT A
PORTLAND OR 97219

Officer/Director/Trustee Two

SARA GARDNER
SECRETARY
9328 SW 30TH AVE UNIT A
PORTLAND OR 97219

Officer/Director/Trustee Three

CONNIE A BAUGHER
TREASURER
9328 SW 30TH AVE UNIT A
PORTLAND OR 97219

Organization’s website N/A
Organization’s email TAMGARDNER21@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/31/18
Organization Incorporation State OR
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 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 Yes
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 TAMARA M GARDNER
Signature Title PRESIDENT
Signature Date 9/3/18

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