FORM 1023-EZ for PETS FOR VETS-COLUMBIAGORGE

Field Data
EIN 47-3970259
Case Number EO-2015133-000211
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PETS FOR VETS-COLUMBIAGORGE
Organization’s Mailing Address BOX 205
City UNDERWOOD
State WA
ZIP 98651
Accounting period End 12
Primary contact name KELLY DENNIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KELLY DENNIS
DIRECTOR
BOX 205
UNDERWOOD WA 98651

Officer/Director/Trustee Two

LYNN GUENTHER
TREASURER
BOX 1239
HOOD RIVER OR 97031

Officer/Director/Trustee Three

KELSIE SCROGGINS
SECRETARY
BOX 802
HOOD RIVER OR 97031

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/11/2015
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D60 - Other Services - Specialty Animals
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 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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