FORM 1023-EZ for SHOTZY SANCTUARY

Field Data
EIN 84-3794833
Case Number EO-2020218-000374
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SHOTZY SANCTUARY
Organization’s Mailing Address 75506 ROBINSON ROAD
City ELGIN
State OR
ZIP 97827
Accounting period End 12
Primary contact name KATHERINE BINGENHEIMER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KATHERINE BINGENHEIMER
TREASURER
1804 ADAMS AVENUE
LA GRANDE OR 97850

Officer/Director/Trustee Two

MARJORIE OLSON
CHAIRMAN
75506 ROBINSON ROAD
ELGIN OR 97827

Officer/Director/Trustee Three

JUDI REICHTER
BOARD MEMBER
66164 MOSES CREEK LANE
ELGIN OR 97827

Officer/Director/Trustee Four

ELLIANA FINCHER
BOARD MEMBER
72445 COME DRIVE
ELGIN OR 97827

Officer/Director/Trustee Five

LISA REUTIMANN
BOARD MEMBER
1420 LANGDON ROAD
SHERRILLS FORD NC 28673

Organization’s website SHOTZY08ALIVE.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/1/2019
Organization Incorporation State OR
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: 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 KATHERINE BINGENHEIMER
Signature Title TREASURER
Signature Date 8/3/2020

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