FORM 1023-EZ for PACIFIC NORTHWEST GREAT PYRENEES RESCUE

Field Data
EIN 83-0761427
Case Number EO-2018169-000631
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PACIFIC NORTHWEST GREAT PYRENEES RESCUE
Organization’s Mailing Address 851 PORTLAND AVE
City GRANTS PASS
State OR
ZIP 97526
Accounting period End 12
Primary contact name MECHA CLARK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MECHA CLARK
DIRECTOR
851 PORTLAND AVE
GRANTS PASS OR 97526

Officer/Director/Trustee Two

KATRINA VAN DER LINDEN
SECRETARY
4834 SARDINE CRK RD RIGHT FORK
GOLD HILL OR 97525

Officer/Director/Trustee Three

GARY PEYTON
TRANSPORT COORDINATOR
851 PORTLAND AVE
GRANTS PASS OR 97526

Organization’s website
Organization’s email PYRENEES.ACRES@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/4/18
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: 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 Yes
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 MECHA CLARK
Signature Title DIRECTOR
Signature Date 6/14/18

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