FORM 1023-EZ for COZZE PAWS RESCUE

Field Data
EIN 82-5100090
Case Number EO-2018106-000663
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COZZE PAWS RESCUE
Organization’s Mailing Address 6312 SW CAPITOL HWY NUM 411
City PORTLAND
State OR
ZIP 97239
Accounting period End 12
Primary contact name LORI COZZETTO-SMALL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LORI COZZETTO-SMALL
PRESIDENT/TREASURER
6132 SW RIVERPOINT LANE
PORTLAND OR 97239

Officer/Director/Trustee Two

MARIA ALAUDDIN
VICE PRESIDENT
718 NW 21ST
PORTLAND OR 97209

Officer/Director/Trustee Three

TIMOTHY SMALL
SECRETARY
6132 SW RIVERPOINT LANE
PORTLAND OR 97239

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/9/18
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 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 LORI COZZETTO-SMALL
Signature Title PRESIDENT/TREASURER
Signature Date 4/11/18

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