FORM 1023-EZ for THE CHARLIE BROWN HOUSE

Field Data
EIN 84-2790505
Case Number EO-2019268-000179
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE CHARLIE BROWN HOUSE
Organization’s Mailing Address 15002 N 43RD ST
City PHOENIX
State AZ
ZIP 85032
Accounting period End 12
Primary contact name LISA LING
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LISA LING
PRESIDENT
15002 N 43RD ST
PHOENIX AZ 85032

Organization’s website N/A
Organization’s email 100CBHOUSE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/14/19
Organization Incorporation State AZ
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers Yes
Unrelated Gross Income $1,000 or More Yes
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 LISA LING
Signature Title PRESIDENT
Signature Date 9/23/19

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