FORM 1023-EZ for K911

Field Data
EIN 47-2974220
Case Number EO-2016228-000513
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name K911
Organization’s Mailing Address 2625 CARSON WAY
City ANTIOCH
State CA
ZIP 94531
Accounting period End 2
Primary contact name KATHLEEN CABRERA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KATHLEEN CABRERA
PRESIDENT
2625 CARSON WAY
ANTIOCH CA 94531

Officer/Director/Trustee Two

JENNIFER RUBIO
VICE PRESIDENT
1258 FETZER LANE
OAKLEY CA 94561

Officer/Director/Trustee Three

BRANDYE DEWEY
TREASURER
421 MOCKINGBIRD LANE
OAKLEY CA 94561

Officer/Director/Trustee Four

KATHLEEN ELLIS
SECRETARY
604 BARTLETT CT
BRENTWOOD CA 94513

Organization’s website K911RESCUE.ORG
Organization’s email K911KITTY911@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/22/2015
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: No
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 Yes
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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