FORM 1023-EZ for ATWATER COMMUNITY CAT NETWORK

Field Data
EIN 86-2264699
Case Number EO-2021260-000051
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ATWATER COMMUNITY CAT NETWORK
Organization’s Mailing Address 257 E BELLEVUE RD
City ATWATER
State CA
ZIP 95301
Accounting period End 12
Primary contact name GENNY MESA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOAN FAUL
PRESIDENT & DIRECTOR
1463 JUNIPER STREET
ATWATER CA 95301

Officer/Director/Trustee Two

GENNY MESA
TREASURER & DIRECTOR
257 E BELLEVUE RD
ATWATER CA 95301

Officer/Director/Trustee Three

LORI CHAVEZ
SECRETARY & DIRECTOR
75 RANCHO GRANDE CIR
ATWATER CA 95301

Officer/Director/Trustee Four

JIM WILLIAMSON
DIRECTOR
8495 SUNSET DRIVE
ATWATER CA 95301

Organization’s website
Organization’s email MESAGENNY@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/26/2021
Organization Incorporation State CA
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 JOAN FAUL
Signature Title PRESIDENT & DIRECTOR
Signature Date 6/12/2021

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