FORM 1023-EZ for ANIMAL HOUSE

Field Data
EIN 37-1847968
Case Number EO-2017044-000391
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ANIMAL HOUSE
Organization’s Mailing Address 765 ANITA CIRCLE
City BENICIA
State CA
ZIP 94510
Accounting period End 4
Primary contact name JANA SHEETS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LISA SIKES
PRESIDENT
2378 LANSDOWNE PLACE
VALLEJO CA 94591-8160

Officer/Director/Trustee Two

JILL BROWN
TREASURER
235 CYPRESS AVE
VALLEJO CA 94590-9002

Officer/Director/Trustee Three

JANA SHEETS
CHAIRPERSON/SECRETARY
765 ANITA CIRCLE
BENICIA CA 94510-3070

Officer/Director/Trustee Four

SUE STREK
VICE-PRESIDENT
765 ANITA CIRCLE
BENICIA CA 94510-3070

Officer/Director/Trustee Five

RUBY WADERICH
COMMUNICATIONS OFFICER
489 MAPLE AVE
VALLEJO CA 94590-9002

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/9/2017
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
Signature Title
Signature Date

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