FORM 1023-EZ for NOR CAL POM RESCUE INC

Field Data
EIN 45-2663644
Case Number EO-2015282-000422
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NOR CAL POM RESCUE INC
Organization’s Mailing Address 2099 PETERSON LANE
City SANTA ROSA
State CA
ZIP 95403
Accounting period End 12
Primary contact name LINDA LEWIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LINDA LEWIS
PRESIDENT
2099 PETERSON LANE
SANTA ROSA CA

Officer/Director/Trustee Two

KATE GOMEZ
OFFICER
1370 TOWNVIEW AVENUE UNIT 301
SANTA ROSA CA 95405

Officer/Director/Trustee Three

Linda Lewis

2099 Peterson Lane

Organization’s website
Organization’s email NORCALPOMRESCUE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/27/2011
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 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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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