FORM 1023-EZ for REMEMBERING OLIVE ANIMAL RESCUE

Field Data
EIN 81-3048397
Case Number EO-2016187-000471
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name REMEMBERING OLIVE ANIMAL RESCUE
Organization’s Mailing Address 331 LOUIE AVE
City LODI
State CA
ZIP 95240-1122
Accounting period End 12
Primary contact name DALE SMART
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DALE SMART
CEO
331 LOUIE AVE
LODI CA 95240-1122

Officer/Director/Trustee Two

ARNOLD LIN
TREASURER/CFO
1990 S TUXEDO AVE
STOCKTON CA 95204-4861

Officer/Director/Trustee Three

JASON WONG
SECRETARY
4718 LEMMORE PL
STOCKTON CA 95207-7100

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/13/2016
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: Yes
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers Yes
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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