FORM 1023-EZ for FURGET ME NOT PUREBRED CAT RESCUE

Field Data
EIN 83-2207150
Case Number EO-2018320-000291
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FURGET ME NOT PUREBRED CAT RESCUE
Organization’s Mailing Address 840 TOWNE CENTER DRIVE
City POMONA
State CA
ZIP 91767
Accounting period End 12
Primary contact name EWA KONCA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

EWA KONCA
PRESIDENT/DIRECTOR
840 TOWNE CENTER DRIVE
POMONA CA 91767

Officer/Director/Trustee Two

JESSICA ANDRADE
SECRETARY/TREASURER
4422 GLEN WAY
CLAREMONT CA 91711

Officer/Director/Trustee Three

HARRIET BUTTS
DIRECTOR
265 TIPPING WAY
BEN LOMOND CA 95005

Officer/Director/Trustee Four

ANDREW MCGOWAN
DIRECTOR
901 APPALACHIAN
CLAREMONT CA 91711

Officer/Director/Trustee Five

JUDY MAN
DIRECTOR
4323 SAN BERNARDINO COURT
MONTCLAIR CA 91763

Organization’s website
Organization’s email HAPPYTAILSRUP@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/10/18
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: Yes
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 EWA KONCA
Signature Title PRESIDENT/DIRECTOR
Signature Date 11/14/18

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