FORM 1023-EZ for APOLLOS ARC ANIMAL RESCUE AND CARE

Field Data
EIN 83-0977586
Case Number EO-2018176-000454
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name APOLLOS ARC ANIMAL RESCUE AND CARE
Organization’s Mailing Address 803 CAMINO FLORES
City THOUSAND OAKS
State CA
ZIP 91360
Accounting period End 12
Primary contact name CARA DALLAMORA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CAROLYN DALLAMORA
PRESIDENT OF THE BOARD OF DIRECTORS
803 CAMINO FLORES
THOUSAND OAKS CA 91360

Officer/Director/Trustee Two

PHILIP CRAVITZ
TREASURER OF THE BOARD OF DIRECTORS
803 CAMINO FLORES
THOUSAND OAKS CA 91360

Officer/Director/Trustee Three

ANITA JAEGGER
SECRETARY OF THE BOARD OF DIRECTORS
283 NORTH SABRA AVENUE
OAK PARK CA 91377

Officer/Director/Trustee Four

STACEY BRAATEN
DIRECTOR OF THE BOARD OF DIRECTORS
15712 FRESHMAN COURT
THOUSAND OAKS CA 91360

Officer/Director/Trustee Five

SAMANTHA PAVLAS
DIRECTOR OF THE BOARD OF DIRECTORS
327 LOIRE VALLEY DRIVE
SIMI VALLEY CA 93065

Organization’s website NA
Organization’s email APOLLOSARC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/5/18
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: 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 CAROLYN DALLAMORA
Signature Title PRESIDENT OF THE BOARD OF DIRECTORS
Signature Date 6/22/18

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