FORM 1023-EZ for WILD SOULS RANCH

Field Data
EIN 47-1895953
Case Number EO-2014283-000136
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WILD SOULS RANCH
Organization’s Mailing Address 291 DICK SMITH LN
City FORTUNA
State CA
ZIP 95540
Accounting period End 12
Primary contact name SAVANAH MCCARTY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SAVANAH MCCARTY
PRESIDENT
291 DICK SMITH LN
FORTUNA CA 95540

Officer/Director/Trustee Two

MARIAH LEWIS
VICE PRESIDENT
3129 MAGGIE LN
FOIRTUNA CA 95540

Officer/Director/Trustee Three

BEN MARSHALL
TREASURER
2144 SKYLARK LN
FORTUNA CA 95540

Officer/Director/Trustee Four

ANNA TEMPELEARE
BOARD MEMBER
1122 H ST
EUREKA CA 95501

Officer/Director/Trustee Five

ANDY HELZER
BOARD MEMBER
1979 COPENHAGEN RD
LOLETA CA 95551

Organization’s website WILDSOULSRANCH.ORG
Organization’s email WILDSOULSRANCH@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/10/2014
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
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
Signature Title
Signature Date

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