FORM 1023-EZ for PALMS TO PINES AUSTRALIAN SHEPHERDCLUB INC

Field Data
EIN 84-3288935
Case Number EO-2019284-000405
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PALMS TO PINES AUSTRALIAN SHEPHERDCLUB INC
Organization’s Mailing Address 1515 DEVORE RD
City DEVORE HEIGHTS
State CA
ZIP 92407-1323
Accounting period End 12
Primary contact name KERRY KIRTLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KERRY KIRTLEY
PRESIDENT
1515 DEVORE RD
DEVORE HEIGHTS CA 92407-1323

Officer/Director/Trustee Two

CHARIS ARMSTRONG
TREASURER
P O BOX 1056
NUEVO CA 92567-1056

Officer/Director/Trustee Three

JANET HUDSON
SECRETARY
5121 DEL MAR MESA RD
SAN DIEGO CA 92130

Officer/Director/Trustee Four

PATRICIA WOLFE
VICE PRESIDENT
4755 ECHO RIDGE RD
ROCKLIN CA 95677

Officer/Director/Trustee Five

GUY LEEHUMIS
BOARD OF DIRECTOR
4914 PARK AVE
RIVERSIDE CA 92507

Organization’s website
Organization’s email P2PASC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/17/19
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D01 - Alliance/Advocacy Organizations
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 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 KERRY KIRTLEY
Signature Title PRESIDENT
Signature Date 10/8/19
EIN 84-3288935
Case Number EO-2019284-000405
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PALMS TO PINES AUSTRALIAN SHEPHERD CLUB INC
Organization’s Mailing Address 1515 DEVORE RD
City DEVORE HEIGHTS
State CA
ZIP 92407-1323
Accounting period End 12
Primary contact name KERRY KIRTLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KERRY KIRTLEY
PRESIDENT
1515 DEVORE RD
DEVORE HEIGHTS CA 92407-1323

Officer/Director/Trustee Two

CHARIS ARMSTRONG
TREASURER
P O BOX 1056
NUEVO CA 92567-1056

Officer/Director/Trustee Three

JANET HUDSON
SECRETARY
5121 DEL MAR MESA RD
SAN DIEGO CA 92130

Officer/Director/Trustee Four

PATRICIA WOLFE
VICE PRESIDENT
4755 ECHO RIDGE RD
ROCKLIN CA 95677

Officer/Director/Trustee Five

GUY LEEHUMIS
BOARD OF DIRECTOR
4914 PARK AVE
RIVERSIDE CA 92507

Organization’s website
Organization’s email P2PASC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/17/19
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D01 - Alliance/Advocacy Organizations
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 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 KERRY KIRTLEY
Signature Title PRESIDENT
Signature Date 10/8/19

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