FORM 1023-EZ for THE NATURE LODGE

Field Data
EIN 37-1860614
Case Number EO-2020139-000283
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE NATURE LODGE
Organization’s Mailing Address 4041 SOQUEL DRIVE 147
City SOQUEL
State CA
ZIP 95073
Accounting period End 6
Primary contact name BRITTANY NEWTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRITTANY NEWTON
CEO AND PRESIDENT
3229 CENTER STREET
SOQUEL CA 95073

Officer/Director/Trustee Two

MADISON OLIPHANT
TREASURER
1190 EL TORO RD
OJAI CA 93023

Officer/Director/Trustee Three

KRISTEN ROMERO
SECRETARY
1164 CALLE ALMENDRO
THOUSAND OAKS CA 91360

Officer/Director/Trustee Four

STEVEN WORKER
DIRECTOR
489 MYRLTE AVENUE
ROHNERT PARK CA 94928

Officer/Director/Trustee Five

SAGAR DESAI
DIRECTOR
1230 SOUTH BARRANCA AVE
GLENDORA CA 91740

Organization’s website WWW.THENATURELODGE.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/28/2017
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: Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name BRITTANY NEWTON
Signature Title CEO AND PRESIDENT
Signature Date 5/14/2020

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