FORM 1023-EZ for WOODS CREEK RESCUE

Field Data
EIN 82-0767931
Case Number EO-2017072-000545
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WOODS CREEK RESCUE
Organization’s Mailing Address 8182 LABISH CENTER ROAD NE
City SILVERTON
State OR
ZIP 97381
Accounting period End 4
Primary contact name TRACY STOCKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TAMMY LALACK
MANAGER / DIRECTOR
8182 LABISH CENTER RD NE
SILVERTON OR 97381

Officer/Director/Trustee Two

TRACY STOCKER
MEMBER
16011 SW 80TH PLACE
TIGARD OR 97224

Officer/Director/Trustee Three

PAMELA HATHAWAY-BRANDT
MEMBER
2990 SE MINTER BRIDGE ROAD
HILLSBORO OR 97123

Organization’s website WWW.WOODSCREEKPBRESCUE.WIXSITE.COM/PBRESCUE
Organization’s email WOODSCREEKPBRESCUE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/10/2016
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: 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 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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