FORM 1023-EZ for WESTERN SLOPE SPAY & NEUTER ASSISTANCE ASSOCIATION

Field Data
EIN 83-1715539
Case Number EO-2018243-000326
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WESTERN SLOPE SPAY & NEUTER ASSISTANCE ASSOCIATION
Organization’s Mailing Address 502 28 1/2 ROAD
City GRAND JUNCTION
State CO
ZIP 81501
Accounting period End 12
Primary contact name MARK CHAMBERLIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARK CHAMBERLIN
DIRECTOR
905 E CAROLINA
FRUITA CO 81521

Officer/Director/Trustee Two

NATALIE ORTON
DIRECTOR
447 N 23RD ST
GRAND JUNCTION CO 81501

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/27/18
Organization Incorporation State CO
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 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 MARK CHAMBERLIN
Signature Title DIRECTOR
Signature Date 8/29/18

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