FORM 1023-EZ for PEACEFUL PACK RESCUE

Field Data
EIN 81-1941757
Case Number EO-2016104-000200
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PEACEFUL PACK RESCUE
Organization’s Mailing Address 504 S 68TH PLACE
City SPRINGFIELD
State OR
ZIP 97478
Accounting period End 6
Primary contact name APRIL M WING
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ROBYN BROADBENT
DIRECTOR
504 S 68TH PLACE
SPRINGFIELD OR 97478

Officer/Director/Trustee Two

APRIL WING
SECRETARY
13900 IRVING LANE
LYTLE CREEK CA 92358-9749

Officer/Director/Trustee Three

MARION FOPPE
TREASURER
88137 TIKI LANE
SPRINGFIELD OR 97478

Organization’s website WWW.PEACEFULPACK.RESCUEME.ORG
Organization’s email PEACEFULPACKRESCUE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/23/2016
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: 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
Signature Title
Signature Date

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