FORM 1023-EZ for GENTLE HEART ANIMAL ADVOCACY

Field Data
EIN 82-2316232
Case Number EO-2017212-000453
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GENTLE HEART ANIMAL ADVOCACY
Organization’s Mailing Address 3600 CEDAR FLAT ROAD
City WILLIAMS
State OR
ZIP 97544-9682
Accounting period End 12
Primary contact name CHRISTOPHER FIFIELD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHRISTOPHER FIFIELD
PRESIDENT / TREASURER
3600 CEDAR FLAT ROAD
WILLIAMS OR 97544-9682

Officer/Director/Trustee Two

ANGELA PRATT
SECRETARY
3600 CEDAR FLAT ROAD
WILLIAMS OR 97544-9682

Officer/Director/Trustee Three

KUNIKO VROMAN
DIRECTOR
1676 COLORADO BOULEVARD
LOS ANGELES CA 90041-1436

Organization’s website
Organization’s email GENTLE.HEART.ANIMAL.ADVOCACY@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/20/2017
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: 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 Yes
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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