FORM 1023-EZ for HUMBOLDT POULTRY FANCIERS ASSOCIATION

Field Data
EIN 68-0427960
Case Number EO-2019035-000580
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HUMBOLDT POULTRY FANCIERS ASSOCIATION
Organization’s Mailing Address 3389 MITCHELL HEIGHT DR
City EUREKA
State CA
ZIP 95503
Accounting period End 12
Primary contact name HARRY MAJORS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HARRY MAJORS
PRESIDENT AND TREASURER
3389 MITCHELL HEIGHT DR
EUREKA CA 95503

Officer/Director/Trustee Two

LISA JENSEN
SECRETARY
321 HOOKTON CEMETARY RD
LOLETA CA 95551

Officer/Director/Trustee Three

GARY AGAJANIAN
VICE PRESIDENT
5476 MYRTLE AVE
EUREKA CA 95503

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/21/18
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D60 - Other Services - Specialty Animals
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name HARRY MAJORS
Signature Title PRESIDENT AND TREASURER
Signature Date 1/10/19

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