FORM 1023-EZ for GOLD COUNTRY WORKING DOG CLUB

Field Data
EIN 81-2424508
Case Number EO-2019259-000696
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GOLD COUNTRY WORKING DOG CLUB
Organization’s Mailing Address 6355 STATE HWY 104
City IONE
State CA
ZIP 95640
Accounting period End 12
Primary contact name MICHAEL FLORES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PAULA FLUD
SECRETARY
97 CRESTA BLANCA CT
OAKLEY CA 94561

Officer/Director/Trustee Two

CHERIE FLORES
PRESIDENT
6355 STATE HWY 104
IONE CA 95640

Officer/Director/Trustee Three

JOSE LOPEZ
VICE PRESIDENT
9976 HAZEL ROAD
STOCKTON CA 95212

Officer/Director/Trustee Four

MICHAEL FLORES
TREASURER
6355 STATE HWY 104
IONE CA 95640

Organization’s website WWW.GCWORKINGDOGCLUB.COM
Organization’s email GOLDCOUNTRYWDC@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/19
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D61 - Animal Training, Behavior
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 CHERIE FLORES
Signature Title PRESIDENT
Signature Date 9/11/19

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