FORM 1023-EZ for REVERSED RESCUE

Field Data
EIN 47-5317080
Case Number EO-2015344-000035
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name REVERSED RESCUE
Organization’s Mailing Address 4859 WEST SLAUSON AVE 445
City LOS ANGELES
State CA
ZIP 90056
Accounting period End 1
Primary contact name TYE FRIIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TYE FRIIS
FOUNDER
4859 WEST SLAUSON AVE 445
LOS ANGELES CA 90056

Organization’s website WWW.REVERSEDRESCUE.COM
Organization’s email TYE@REVERSEDRESCUE.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/15/2015
Organization Incorporation State CA
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 Yes
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
Signature Title
Signature Date

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